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The aim of this study was to establish an internationally acceptable consensus based on a review of the literature published over the past 20 years

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Here is a list of common reasons for low stomach acid: Older Adults with decreased stomach acids† Regular use of proton pump inhibitors Prevacid® (lansoprazole), Prilosec® (omeprazole), and Nexium® (esomeprazole) Frequent antacid use Heavy drinking Gastrointestinal surgery, including weight loss surgery† Pernicious anemia (an autoimmune disease) Gastrointestinal conditions such as Crohn’s or celiac disease† Pernicious anemia A person who falls into the above categories should consult their physician about their B12 levels in the blood