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In the UK, the NHS says it is more common in older people, affecting around 1 in 10 people aged 75 or over and 1 in 20 people aged 65 to 74. Sources:

Adenosylcobalamin the second active form

Therefore, diseases of the pancreassuch as exocrine pancreatic insufficiency (EPI) and pancreatic cancer (as in Yukis case)often lead to B12 deficiency

Beginning with the mandatory reporting for the CY 2026 reporting period, we estimate a decrease in burden of approximately 729,045 hours for 21,871,350 patients (4,765 patients 4,590 ASCs 0.033 hours per patient) at a savings of $18,685,423 (729,045 hours $25.63/hour)

Additionally, the medications used to induce anesthesia can have a drying effect on the mouth and throat