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Elevated blood concentration of methylmalonic acid is a specific clinical indicator of vitamin B 12 deficiency

Moreover, certain medications commonly prescribed to older individuals, such as metformin and proton pump inhibitors, may hinder B12 absorption

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"Effect of Vitamin B6, B9, and B12 Supplementation on Homocysteine Level and Cardiovascular Outcomes in Stroke Patients: A Meta-Analysis of Randomized Controlled Trials"

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For cats requiring additional support, regular veterinary care and responsible management of underlying health conditions are key