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Dolopikou et al., 2019) (Table 2)

These include: Vitamin B12 deficiency due to reduced stomach capacity and decreased intrinsic factor production Iron deficiency resulting from reduced stomach acid and bypassing of the duodenum Calcium and Vitamin D deficiencies, potentially leading to osteoporosis Protein malnutrition if adequate protein intake is not maintained These issues can harm health if not treated with supplements and diet changes