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Dose adjustments of existing medications may be necessary

Front Nutr (2022) 9:855223

Projections indicate that by 2030, the respective proportions are anticipated to rise to 30, 10, 8, 4, and 2%, respectively (19)

This "low and slow" approach helps the body adjust to the metabolic changes and minimizes the risk of a temporary flare as detoxification pathways (like the ALDH and SUOX enzymes) begin to clear backlogged toxins

If a patient has specific or red flag features B 12 deficiency testing should be initiated (see Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency * and/or Non-specific ** or Specific Symptom of B 12 Deficiency )

Oral supplements might not work, so injections or sublingual tablets are better