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The Recommended Dietary Allowances (RDA) varies with age [Table 2].[2] Prevalence of B12 deficiency varies from 3% to 5% in the general population and 5% to 20% among people older than 65 years.[3] Inadequate intake and low consumption of animal-source foods with pernicious anemia (low intrinsic factor) in younger adults and food bound cobalamin malabsorption in part due to gastric atrophy in older persons are the main cause of low serum vitamin B12 and likely the main cause in poor populations worldwide.[1,2] In the present case the cause of vitamin B12 deficiency was decrease intake with low intrinsic factor

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