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Unmetabolized folic acid prevalence is widespread in the older Irish population despite the lack of a mandatory fortification programme Am J Clin Nutr

Any shift toward brown or green means the product has degraded and should be replaced

The course supports safer consultation conversations and progression planning, but it does not replace supervised hands-on treatment experience

Oral supplements, on the other hand, are suitable for general maintenance in individuals with normal digestive function

However, there may be downsides to taking an oral vitamin B12 supplement that should be considered

doi:10.1016/s0140-6736(16)31357-5 Navarese EP, Robinson JG, Kowalewski M, et al