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The dominant driver is reduced caloric intake
Due to the complexity of B12 absorption, geriatric patients, many of whom are hypoacidic due to reduced parietal cell function, have an increased risk of B12 deficiency
This was crucial to my recovery process because in the beginning of my B12 therapy, I had paradoxical reactions - which is to say, opposite of the intended purpose
Bulk Refills for Established Patients Once you're on maintenance dose, refill at higher vial sizes for fewer reorders
Great Easy to do, and I felt a lot more energetic
Most cases are identified through blood tests ordered for other reasons, such as investigating anaemia, fatigue, or monitoring patients with known liver or kidney disease
