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Your reminder to check folate alongside B12 and prioritize B12 replacement to prevent neurological progression is a vital clinical pearl

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

Kylie Eads, freshman, Deans List, College of Business, marketing

They're just hypercaffeinated all the time