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This patient also has a stricture of the main pancreatic duct, caused by pancreatic adenocarcinoma

A randomized, double-blind, placebo-controlled trial in 191 older adults (75 years) with moderate vitamin B 12 deficiency (serum cobalamin concentrations of 107-210 pmol/L) without anemia provided participants with 1 mg/day of cyanocobalamin for one year (94)

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When combined with a balanced diet and consistent activity, Vitamin B12 deficiency treatment may help: Improve how the body processes nutrients Enhance energy during workouts Support better recovery after exercise Think of B12 as a tool that ensures your metabolism is running at full capacity