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By contrast, chronic cases involving multi-year degeneration, repetitive overuse, failed rehabilitation histories, structural instability, or longstanding inflammatory cycles usually took longer, and the results were inconsistent

This deficiency is more common among people who have had gastric surgeries or pernicious anemia

Because B12 is a water-soluble vitamin, the body typically uses what it needs and excretes the rest

A deficiency can occur for several reasons, such as pernicious anemia (a condition where the body cannot absorb vitamin B12 from the diet), certain medical conditions (e.g., Crohn's disease, celiac disease), surgical removal of part of the stomach or intestine, or strict vegetarian/vegan diets if not adequately supplemented