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The math gets interesting

When ingested orally, high doses of nutrients can upset the stomach, an issue which is avoided with nutrient injections

While the condition is the major cause of poor vitamin B 12 status in the elderly population, it is usually associated with atrophic gastritis, a chronic inflammation of the lining of the stomach that ultimately results in the loss of glands in the stomach (atrophy) and decreased stomach acid production (see Atrophic gastritis)

Commenters also pointed out that Medicare claims from calendar year 2022 also indicate a shift in the type of clinician performing the procedure, with 52.3 percent of FNAs being performed by radiologists and only 17.6 percent by endocrinologists