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Men and women 60 years or older have average dietary intakes of 5.6 g/day and 3.7 g/day, respectively (126)

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this occurs because there is not enough vitamin B12 in the diet, or poor absorption Pernicious anemiaa type of megaloblastic anemia caused by a lack of intrinsic factor, so that vitamin B12 is not absorbed Fatigue, weakness Nerve damage with numbness, tingling in the hands and legs Memory loss, confusion Dementia Depression Seizures Up to 15% of the general population has a B12 deficiency

Limit processed foods and added sugars

There is no specific treatment to lower B12 levels in isolation, as the vitamin is non-toxic and excess is naturally excreted

One very small study found that people who used semaglutide had lower B12 levels, but these patients also had bariatric surgery prior to using semaglutideso its hard to say if using semaglutide would lead to a B12 deficiency, requiring additional B12