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Certain groups are at a higher risk of B12 deficiency, including the elderly because of reduced absorption due to decreased stomach acid

Minimizing Methylmalonic Acid Levels A potential problem with the IOMs method for determining B12 requirements (see Institute of Medicines Recommendations above), is that a small percentage of people with neurological symptoms of B12 deficiency have normal blood parameters, including 13% of patients in one series of case studies (Lindenbaum, 1988)

"Interim recommendations for use of the PfizerBioNTech COVID-19 vaccine, BNT162b2, under Emergency Use Listing"

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Yes, vitamin injections are a safe and well-established wellness treatment when administered by a trained provider using sterile, pharmaceutical-grade nutrients

Conversely, men may be underdiagnosed until more advanced neurological or cardiovascular manifestations occur, suggesting that under-screening contributes to delayed recognition