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This contrast highlights that while our population exhibited uniformity in Vitamin B12 levels across age groups and sexes, the Penninx study points to an increased vulnerability to depression linked to vitamin B12 deficiency, particularly in older adults

Recheck blood work including MCV, hgb (if anemic), serum B12, and homocysteine

Patients should only obtain medications from state-licensed pharmacies or FDA-registered outsourcing facilities

Using a clean and stable environment for administration

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