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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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A healthy, well-rounded diet can usually supply you with all the vitamin B you need, although there are some situations where your doctor may recommend that you take a supplement
For references and more information , see the section on Deficiency in the Riboflavin article