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Workings backward from an elevated MCV The patient has an MCV of 121 fL

Reason 2: The vial and seal can be damaged Water expands by about 9% when it freezes

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10.1016/j.lfs.2020.118542 118 LiH.LiQ

Standard RDA: 2.4 mcg for adults Senior-Specific Needs: Often higher than 2.4 mcg due to absorption issues Recommended Intake for Seniors: At least 2.4 mcg, potentially much higher with supplementation Why the Standard 2.4 mcg May Not Be Sufficient The standard 2.4 mcg dosage might not be enough for seniors for a few reasons: Decreased Stomach Acid: Needed for B12 release from food Atrophic Gastritis: A common condition in older adults that makes it hard to absorb B12 Medication Interference: Some medicines can also block B12 absorption For those over 50, its best to get most of their vitamin B12 from supplements and fortified foods

[275] [276] On 23 August 2021, the FDA approved the vaccine for use for those aged sixteen years and older