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Some individuals may struggle to absorb enough B12 from their diet, especially those with conditions like pernicious anemia, certain gastrointestinal disorders, or those taking medications that impact absorption

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Atrophic gastritis , often associated with Helicobacter pylori infection or autoimmunity, reduces gastric acid secretion necessary for releasing food-bound B12

The critical gap is the absence of controlled studies testing the two together, so any conclusion about combined effects remains speculative as of 2026

Brain & Nerve Research An emerging area of research involves the nervous system