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I dont know why (nor could my doctors figure it out) but around five years ago at age 60 my body apparently stopped absorbing B12 through my digestive system

Pregnancy, breastfeeding, kidney disease, severe anemia, and neurologic symptoms may require closer follow-up

Older adults Vitamin B12 deficiency affects older women over the age of 50 by putting them at risk for various conditions that lead to a decrease in stomach acid production.When levels of stomach acid are low, a particular bacteria that uses B12 begins to grow, thus reducing the amount of B12 that is available to the body

the TauRx hydromethylthionine (HMTM/LMTM) tau-inhibitor derivative that reached the Phase 3 LUCIDITY Alzheimers trial and a July 2024 UK MHRA application