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It can also be depleted by chronic stress, alcohol, smoking, digestive issues, cardiovascular disease, illness, and aging because stomach acid production decreases with age, reducing B12 absorption significantly

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Your healthcare provider or diabetes educator should demonstrate the injection technique during your initial visit

Michelle Routhenstein, RD at Entirely Nourished, says its because of reduced appetite and slowed digestion: These symptoms lead to lower calorie intake and potential nutrient deficiencies, which can decrease energy levels, she explains