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This can occur in individuals with certain medical conditions such as: • Pernicious anemia (lack of intrinsic factor, a protein needed for B12 absorption) • Gastrointestinal surgeries (like gastric bypass) • Crohn’s disease or celiac disease • Chronic or atrophic gastritis • Use of certain medications, such as metformin or proton pump inhibitors At Lifeline Primary Care, we regularly screen for these risk factors and can help identify if you’re at risk for B12 deficiency

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Melatonin’s decline in aging has widespread implications – weakening circadian coordination, diminishing sleep quality, lowering antioxidant defense, increasing inflammation, and reducing neuroprotection, all of which may contribute to “accelerated” aging and age-related diseases