Reasonable approaches include: Regular blood work every 3-6 months checking metabolic markers, liver function, kidney function, and lipid profiles
The following are being older, because a person becomes less able to absorb B12 as they age eating a vegetarian or vegan diet taking anti-acid medication for an extended period weight loss surgery or other stomach surgery, which can affect how the digestive system absorbs vitamin B12 Most people can get enough vitamin B12 from dietary sources
It's easy to use, widely available, and for many people, it's the first treatment worth trying
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