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Otitis Media in Childhood and Disease in Adulthood: A 40-Year Follow-Up Study

Pernicious anaemia is caused by your immune system preventing your stomach and gut from absorbing B12 from your food

Some studies suggest that individuals with low levels of B12 are more prone to developing age-related cognitive decline and that supplementation can slow down or even reverse certain symptoms of mental impairment

Yearly monitoring of B 12 status and suitable adjustment of the supplementation dose is recommended.50 For symptomatic deficiency (box 1) caused by insufficient dietary intake, intramuscular B 12 therapy is usually initiated with the aim of progressing to oral supplements once symptoms have resolved.789 Symptomatic deficiency in people with B 12 malabsorption Suggested treatment schemes differ considerably between countries