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Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms

And we may be asymptomatic while all this is happening, but this will not prevent B12 from remaining low, methionine synthase from malfunctioning, and homocysteine from accumulating

You really want reassurance that everything is okay, or to get them the help that they need, the medicine that they need, the care that they need

For those who adhere to a vegan or vegetarian diet, supplementation will be necessary

What concerns me is that, in the coming weeks, state and federal leaders will frame Harvey as an unforeseeable, unprecedented disaster