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Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults
Just look at the history of people with ME (myalgic encephalomyelitis) or with Long-Covid, and how they have been ill-diagnosed and not well treated, and you realize how mediocre the specific evaluation of many people with unexplained symptoms may have been
Summary: Calorie deficit heart palpitations can occur due to stress hormone changes, electrolyte imbalances, or low blood glucose triggered by significant caloric restriction
The Pernicious Anaemia Society notes this is well recognised but not fully understood
Long-term low B12 can drive elevated homocysteine and contribute to megaloblastic or pernicious anemia
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