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Occlusion of the MCA was confirmed when a sudden drop in CBF was observed on the Doppler, confirming MCAO and the start of ischaemia

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Most people get enough from diet, but older adults, vegans, and those with certain medical conditions may require supplementation

A deficiency or lack of Vitamin B12 is quite common in the over 65s, those diagnosed with pernicious anaemia, and in anyone who follows a vegan, strict vegetarian, or extreme/fad/restricted diet for a long time without taking a B12 supplement or eating fortified foods