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However, elderly patients may be more susceptible to gastrointestinal side effects and should be monitored closely during dose titration
In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up
Its one of many reasons why people can start waking up at night, struggle to drift off, or feel less refreshed after sleep
Zakko 2018)
What are the benefits of antidoxant injections
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