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Among elderly individuals, vitamin B 12 deficiency is more common, primarily because of impaired intestinal absorption that can result in marginal to severe vitamin B 12 deficiency in this population

Chen X, Emam M, Li Z, Rifhat R, Liping Z, Zheng Y (2023a) Analysis of spatial characteristics and geographic weighted regression of tuberculosis prevalence in Kashgar, China

I dont believe there is any infection, as not hot or pussing etc