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You may be at higher risk if you: Follow a vegan or vegetarian diet Eat very little meat, fish, eggs, or dairy Are over the age of 50 Have digestive conditions affecting absorption Take certain medications, such as metformin or acid-reducing medicines Have had certain stomach or bowel surgery Have pernicious anaemia or absorption problems People in higher-risk groups may benefit from advice, testing, or treatment depending on their symptoms and medical history

Even some meat eaters dont absorb it very well

If neurological symptoms were present at diagnosis, your doctor may perform a neurological examination at follow-up appointments to assess improvement

For most patients, it resolves substantially after the first few weeks of a given dose

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[8] [9] The risk of low blood sugar increases meaningfully only when these agents are combined with insulin or sulfonylureas