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This is most likely not a physiological change due to aging per se , but a consequence of the elderly being more prone to gastric dysfunction, with variable degrees of gastric atrophy and achlorhydria interfering with the absorption of vitamin B 12 from foods (Carmel, 12 among the elderly are accompanied by metabolic changes related to deficiency (Carmel, 2015)

When Additional Imaging Is Needed If symptoms persist despite conservative treatment, advanced imaging may help identify the true source of pain

doi:10.1111/j.1572-0241.2002.05781.x 15Pruitt R, Hanson J, Safdi M, et al

The full name is Long Arg3 Insulin-like Growth Factor-1

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