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This is particularly important if you are part of any of the groups considered to be at high risk of B12 deficiency, including alcoholics, smokers, those on diabetes drugs, adults over 65, those with gastrointestinal disorders and those who have had surgery relating to the digestive tract

A Case for Routine Screening & Clinical Vigilance Given the clear risk in patients with ileostomies, ipouches, or urostomies, some experts advocate for: Annual symptom screening (regardless of B12 lab results) Routine B12 testing at baseline and periodically thereafter Low threshold for initiating treatment in symptomatic individuals Trial of injections when levels are borderline or symptoms suggest deficiency Final Thoughts: Bringing B12 Out of the Shadows As healthcare providers, patients, and support teams, it is time to bring B12 to the forefront, not just on test reports , but in clinical conversations, patient education, and long-term care planning

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