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Some high risk groups for vitamin B12 deficiency include: elderly people- often stomach acid production decreases with age individuals who have had intestinal surgery such as weight loss surgery or laparoscopies individuals with GI issues including celiac disease, IBD, IBS (MOST OF YOU!!!) those following a vegetarian or vegan diet- due to the lack of animal protein eaten (one of the main sources of B12) individuals with pernicious anemia- do not make intrinsic factor Notice how a fair amount of the high risk individuals are those with some sort of intestinal issue
Daily observations: Appetite level (1-10 scale), nausea level (0-5 scale), energy level, any notable GI symptoms, bowel changes, mood or sleep changes
It is estimated that it takes one to three months of therapy to lighten the skin by a couple of shades, but at the same time it is necessary to stay out of the sun
When carrying out an ELISA assay it is important to prepare your samples in order to achieve the best possible results
For people with type 2 diabetes, it's worth noting that rapid improvement in glycaemic control with GLP-1 receptor agonists like semaglutide has been associated with worsening of diabetic retinopathy in some cases, requiring appropriate monitoring
