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Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms

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Patients with delayed improvement should be offered rehabilitative therapy, particularly for gait, urinary, or bowel dysfunction

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Frequency: Twice a week Benefits: Improves Energy Increases Metabolism Enhances Mood Helps Regulate Sleep Helps Regulate Appetite Physician Consent for Treatment: A physician may contact you within 24 hours of purchase, if additional information is needed

Li B, Zhang Q, Zhang H, Wang C, Xiu R