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Another study showed why its key to treat both deficiencies

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Making sure they get enough of the right nutrients is key to their health and managing their condition well

Check out this paper from 1992: If the indiscriminate dumping of industrial cyanide waste continues unchecked with the inherent risk of pollution of food and water supplies there may well come a time when more widespread chronic cyanide neurotoxicity occurs in the Western hemisphere from a dietary source in persons with a genetic or acquired error of cyanide or vitamin B12 metabolism

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With age, your stomach cells become less efficient and secrete less hydrochloric acid, which means you absorb less B12