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Their recommendations and resultant decision trees are summarized in Table 2 and Figure 2

Certain groups are at higher risk, including older adults (due to reduced stomach acid production), individuals with pernicious anaemia (an autoimmune condition affecting B12 absorption), those who have undergone gastrointestinal surgery, and people with conditions such as Crohn's disease or coeliac disease

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(Diane reported that compounded drugs are easily found legally in the US through many telehealth providers