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You and your doc will need to consider both options based on your unique situation

2020;33(6):e14053

Common conditions that may support medical necessity for supplements include nutritional deficiencies, gut and digestive concerns, metabolic and hormonal conditions, musculoskeletal issues, and immune dysfunction

B12 Side Effects in Elderly: Safety Guide for Older Adults Vitamin B12 supplementation is commonly prescribed for elderly patients, as deficiency becomes increasingly prevalent with age due to reduced gastric acid production, pernicious anaemia, and medication interactions