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Why Vitamin B12 Deficiency Is Often Missed in Aging Adults Vitamin B12 deficiency is often missed because the symptoms fatigue, anemia, neuropathy, memory problems, or walking difficulties are quite common in older adults, and can easily be caused by something else

In addition, as we age, our ability to absorb B12 from food declines, which puts the elderly at higher risk of deficiency

For clarity, only the losses obtained for the highest dose of tirzepatide (15 mg) are shown in the figure

14 While B12 injections do work, sublingual vitamin B12 is proven to be more efficient in boosting B12 levels, especially in patients with very low levels

Subcutaneous administration bypasses this degradation pathway entirely, delivering consistent plasma concentrations that can be measured, tracked, and replicated across study cohorts