Careful With Daily Vitamins?
Seniors should be especially careful with high-dose supplements if they:
take several prescription medications
have kidney disease or reduced kidney function
have diabetes
take metformin
use long-term acid-reducing medications
have a history of stroke, TIA, heart disease, or blood clots
have anemia or unexplained fatigue
follow a vegan or strict vegetarian diet
have had stomach or intestinal surgery
have numbness, tingling, or balance problems
NICE recommends considering risk factors and symptoms together when assessing possible B12 deficiency, and urgent attention is important when neurological symptoms are