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Its all about listening to your body and adjusting your plan based on how you feel and how your levels respond to treatment

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Additional risk factors include advancing age (due to reduced gastric acid production), excessive alcohol consumption (impairing absorption and storage), and rare genetic disorders affecting B12 transport or metabolism

As a reminder, discuss the supplements and medications you take with your health care providers

For patients who want to avoid surgery, or where surgery carries a higher risk due to age or comorbidities, pain can often be successfully controlled with an optimized combination of medications and outpatient interventional procedures (targeted nerve blocks, minimally invasive treatments that reduce nerve irritation)