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Inflammation can occur in any joint in the body, but some of the most common joints that become inflamed and painful are in the spine, especially the lumbar region (lower back), and in the knees, shoulders and hips

Other than that, low vitamin B12 levels are more common in those who are: Older than 65 years of age

Vitamin B 12 deficiency is highly prevalent in older adults, particularly among those with impaired vitamin absorption due to conditions such as gastric surgery and atrophic gastritis (24)