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This matters because many adults with low B12, whether from dietary restriction, aging, or conditions like pernicious anemia, cannot absorb enough B12 through food or oral supplements alone
Deficiency is particularly common in elderly people because the ability to absorb vitamin B12 can decrease with age
The twitches can impact their desire to participate in occupational therapy or physical therapy (OT and/or PT) needed for full recovery
The absorption caveat: for older adults, low absorption is typically the primary driver of deficiency rather than low dietary intake
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