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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

Physical examination is otherwise unremarkable, with no evidence of hepatomegaly, splenomegaly, or other stigmata of chronic liver disease

The role of vitamin B12 and genetic risk factors in the etiology of neural tube defects: A systematic review