If the cause of your lack of vitamin B12 is diet related rather than due to pernicious anaemia then treatment may be different
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At some point in our 50s or later, muscles drooping throughout the lower face mean that complete tightening along the jawline and jowls cannot be achieved without also addressing and tightening the muscles below
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Beyond this core list, several other conditions are commonly tied to B12 deficiency: autoimmune gastritis (which damages the parietal cells that produce intrinsic factor), ileal resection (surgical removal of the part of the small intestine where B12 is absorbed), chronic alcoholism , pancreatic insufficiency , nitrous oxide exposure (including recreational use, which inactivates B12), and increased demand during pregnancy and breastfeeding