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Screening for vitamin B12 deficiency is done for patients with one or more risk factors, such as gastric or small intestine resections, and inflammatory bowel disease
However, excessive exercise, particularly endurance training, can elevate cortisol and compete with hair follicles for nutritional resources
Think of it less as a harsh intervention and more as a supportive messenger
There are avenues for compassionate use in truly dire cases, but a middle-aged athlete wanting to speed up tendon healing is not a case of life-threatening need
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