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Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

That includes memory problems or nerve damage that may not go away

This medication is not recommended during pregnancy due to potential risks to fetal development

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Well also cover the practical aspects, including typical costs and what the appointment will look like