For instance, hydroxycobalamin is stored in the body longer than cyanocobalamin, reducing the need for frequent injections
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
Managing these complexities internally can be challenging, especially with evolving billing rules and increasing audit scrutiny
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Liver & Nervous System Support Choline enhances liver function, helps flush out toxins, maintains cholesterol balance, and improves memory and focus
Current Gerontology and Geriatrics Research