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Revised Date: January 18, 2023 Recommendations and Topics Scope Key Recommendations Background Epidemiology Patient Risk Factors Associated with B 12 Deficiency Patient Risk Factors Associated with Folate Deficiency Prevention Diagnosis Management Ongoing Care References Resources Appendix A: Dietary sources of cobalamin Scope This guideline covers the primary care investigation and management of cobalamin (vitamin B 12 or simply B 12 ) and folate deficiency in adults

In laboratory testing, it did not inhibit related SAM-dependent methyltransferases or interfere with other enzymes in NAD+ salvage pathways

As always, education comes first

Pregnenolone: Pregnenolone is an endogenous steroid and precursor/metabolic intermediate that plays a key role in the production of other steroid hormones, including progesterone, DHEA, and estrogen

(Saudi Arabia, Kuwait, Qatar, Oman, Bahrain) Yes