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Sikiric, P., Banic, M., Brkic, T., et al

Personal or family history of medullary thyroid carcinoma (MTC)
Routine Screening for At-Risk Individuals Regular health check-ups and blood tests can help detect B12 deficiency early, particularly in older adults, people with chronic digestive issues, or those on long-term medications that affect absorption
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Repetitive overuse from sports and exercise that causes excessive knee loading

Some people require additional B12 due to a health condition however it can also be administered as a vitamin supplement