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Neuroendocrinology Letters , 23(Suppl

Many people are surprised to learn that vitamin B12 deficiency is a recognised contributor to nerve damage

Once patients found out how effective these medications were, word of mouth really drove up demand and outpaced the ability of these drug companies to manufacture them, says Nate Wood, MD, a primary care doctor and co-leader of the weight management clinic at the New Haven Primary Care Consortium, part of Yale New Haven Hospital in Connecticut

Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

Supplements work best whendeficiency is confirmed

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