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@article{168960,
        author = {Sandhya  Sujeetkumar Ahire and SUJEETKUMAR I.AHIRE and Chetan S.Chaudhari and Vaibhav L. Chaudhari},
        title = {Vitamin B12 Deficiency In Older People A Practical Approach To Recognition And Management.},
        journal = {International Journal of Innovative Research in Technology},
        year = {2024},
        volume = {11},
        number = {6},
        pages = {102-110},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=168960},
        abstract = {Vitamin B12deficiency is common in older people and is linked to anaemia, cognitive decline, and dementia. Clinical presentation is variable, ranging from no symptoms or subtle, non-specific symptoms, through to serious, irreversible neurological symptoms if left untreated.
Although common, it is often under-recognised, with diagnosis usually occurring on incidental blood test screening. Older people are at increased risk of vitamin B12deficiency due to insufficient dietary intake, malabsorption associated with aged-related changes in gastrointestinal function, higher incidence of pernicious anaemia, and chronic use of interfering medications such as metformin and proton-pump inhibitors. Early detection and treatment in symptomatic deficiency are crucial to prevent irreversible damage.
Vitamin B12intramuscular injection bypasses potential absorption issues and is traditionally the first-line treatment in older people. However, emerging evidence suggests that high-dose oral replacement may be as effective.},
        keywords = {Vitamin B12, deficiency, anaemia, malabsorption, neurological symptoms},
        month = {November},
        }