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Using expired medication thinking it is still working can mask a developing problem

Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

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It simply passes through and is excreted

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Fluoxetine has a half-life of four to six days, and its active metabolite, norfluoxetine, persists for four to 16 days
