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While a B12 deficiency is not uncommon, it can take years to develop, and the signs and symptoms range depending on the severity and duration of the deficiencybut weight gain isnt likely to be one

It is a game changer. Adding to the momentum is some research to support its potential in helping with gastrointestinal problems, stroke recovery, and arthritis

Building a contingency for that scenario alternative substances, alternative formulation approaches, communication plans for affected prescribers is reasonable risk management even though the May 14 update restored the current operating environment

Certain populations are at higher risk of vitamin B12 deficiency, including older adults (due to reduced gastric acid production), individuals following strict vegan or vegetarian diets, those with pernicious anaemia (an autoimmune condition affecting intrinsic factor production), patients who have undergone gastric or ileal surgery (including bariatric procedures), and those taking medications that affect gastric acid secretion (such as proton pump inhibitors or H2 antagonists) or intestinal absorption (including metformin)

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