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Hormone changes or some medicines can make the vagina dry, causing itchiness and discomfort

Kudzu root extract is one of the most clinically studied natural remedies and has been shown in trials to reduce alcohol consumption in heavy drinkers

Prevalence of comorbidities among individuals with COVID-19: A rapid review of current literature. American journal of infection control 49.2 (2021): 238-246

Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency

PMC 4076414