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Assessing Deficiency Status and Severity The first step is to check how severe the B12 deficiency is and the level of nerve pain

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In cardiac models, Bock-Marquette et al., Nature 2004 reported that T4 activates integrin-linked kinase and Akt signalling, promoting cardiomyocyte survival, migration and improved function after coronary ligation in mice

Elderly patients on long-term PPIs should have their B12 status monitored periodically and may require injectable B12 if deficiency develops