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Older adults (there is reduced stomach acid production with age, and acid in the stomach is necessary to absorb vitamin B12)
[13] There have also been rare reports of high-dose vitamin B (as in injectable form) precipitating skin outbreaks such as acne or rosacea in susceptible persons
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Gastrointestinal surgery can also affect B12 absorption
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It is usually present in animal products, especially dairy products, poultry, eggs, and fish
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