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You can have this disease for many years before you notice changes in your body that happen because youre not getting enough vitamin B12

Around 8-9% of people over 65 have atrophic gastritis compared to 2% of the general population

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Reduced secretion of gastric acid and pepsin, from the use of H 2 blocker or proton-pump inhibitor (PPI) drugs, can reduce the absorption of protein-bound (dietary) vitamin B 12 , although not of supplemental vitamin B 12