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Older adults, those taking metformin, or those on long-term proton pump inhibitors or H2 blockers with reduced B12 absorption capacity

Ongoing monitoring and safety

There's a couple states that are cracking down on people and people know to avoid those states

Just tiredness, a little brain fog, maybe some tingling in the feet that you keep ignoring

For example, a 2024 study of nearly 92,000 participants in the Multiethnic Cohort Study with an average age of 59 found that after an average followup of nine years, slightly more than 16,500 (approximately 18%) had developed Alzheimer's or another dementia

The speed of spinal stenosis progression can vary based on various factors, including lifestyle habits, but is often slow