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Vitamin B12 deficiency has been associated with peripheral neuropathy and even cognitive deficits, especially in older adults and those with HIV/AIDS, where it supports nerve function and assists in the maintenance of myelin sheath integrity

One of the most visually striking findings (Fig

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If youre at risk due to age, diet, or medical conditions, consider a vitamin B12 deficiency test every 12 years

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As a spore-forming organism, it is shelf-stable without refrigeration and is designed to survive gastric acid, activating in the intestines where it produces butyrate