As we age, our stomachs produce less acid, which makes it harder to absorb B12 from food
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It should not be used by people with a history of pancreatitis, medullary thyroid cancer, or diabetic retinopathy (a diabetes-related eye disease that damages the blood vessels in the retina)

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five states across the PlexusDx network require a scheduled live consultation rather than async, and Kentucky is currently on the async pathway