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Patients should also be aware that folate supplementation should not be started before B12 deficiency has been treated, as doing so can precipitate or worsen neurological complications
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adults over 60 have a true B12 deficiency, and roughly 20% have marginal B12 status, according to research published in the American Journal of Clinical Nutrition

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However, currently, there is insufficient information to make definitive recommendations on the vaccine type
