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While the condition is the major cause of poor vitamin B 12 status in the elderly population, it is usually associated with atrophic gastritis, a chronic inflammation of the lining of the stomach that ultimately results in the loss of glands in the stomach (atrophy) and decreased stomach acid production (see Atrophic gastritis)

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The appropriate use of these medications is directed by a rheumatologist

Learn How An easy to follow step-by-step for intramuscular injections can be found on our How to Perform an Intramuscular Injection of Vitamin B12 page