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Older adults often have enough health problems to deal with

Thiamine (B1) is pivotal in carbohydrate metabolism and neuronal energy production

I actually look forward to our next appt which is something I have never said about Dr appts

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

Vitamin B12 is either injected under the skin or into muscle tissue

Medications compounded by NexGen Pharmaceuticals are prepared at the direction of a veterinarian