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Cognitive impairment, Alzheimer's disease, and other dementias in the lives of lesbian, gay, bisexual and transgender (LGBT) older adults and their caregivers: Needs and competencies

This includes: Vegans and vegetarians who may not obtain sufficient B12 from their diet Older adults, as the ability to absorb B12 from food decreases with age Individuals with certain medical conditions, such as Crohns disease or celiac disease, that can impair B12 absorption People taking certain medications, such as metformin or proton pump inhibitors, which can interfere with B12 absorption Who Should Consider Getting B Complex Shots

A patient who hasn't had that conversation isn't receiving appropriate care, regardless of where they're sourcing their sermorelin

10.1039/D3RA06799H 59

B12 shots are found very safe for everyone