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The results presented above indicate that anaerobic photolysis of the alkylcobalamins does not only yield vitamin B12 but several alkylated vitamin B12 derivatives

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doi: 10.1016/j.intimp.2019.03.023 21 ChoeC-ULardongKGelderblomMLudewigPLeypoldtFKoch-NolteFet al

High-Risk Profiles The threshold for testing should be lower if the individual falls into any of these categories: Age 60 or older Long-term use of metformin or proton pump inhibitors (PPIs) Strict vegetarian or vegan diet Family history of pernicious anemia or autoimmune disease Key Clinical Symptoms Neurological and cognitive: tingling, numbness, or a "pins and needles" sensation in the hands or feet