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Who Is at Risk of Vitamin B12 Deficiency

If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)

I think you will find it was Antiphospholipid Syndrome that was being questioned in the post put on by EllaNore who at present is being screened for sticky blood

Plasma homocysteine as a risk factor for dementia and Alzheimer's disease

Without sufficient B12, this sheath can weaken, which may explain symptoms such as tingling, numbness, memory issues, or brain fog. From an energy standpoint, B12 supports the methylation cycle , a chemical pathway involved in energy metabolism and detoxification

A 2006 study published in Pathophysiology of Haemostatis and Thrombosis has found that chronic cadmium exposure can affect coagulation and increase the risk of thrombosis ( 24 )