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This is one of the best approaches to Vitamin B12 deficiency

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The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature. European Journal of Clinical Nutrition 68(5) (2014): 541548

Cartilage degeneration was scored using the Yoshimi scale, which ranges from 0, defined as normal cartilage, to 5, defined as complete loss of cartilage

Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults