Before initiating treatment, a comprehensive medical history review and consultation with a qualified healthcare provider remain essential steps
A lack of vitamin B12 can cause a variety of health issues, including fatigue and permanent neurological changes
The prevalence of B12 deficiency in those older than 60 years is between 10% and nearly 20%.7,8 Because multiple causes can coexist in elderly patients, including poor absorption, protracted metformin use, and reduced dietary intake, these patients have the greatest risk for B12 deficiency and should be carefully monitored for signs of deficiency
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