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Routine screening of B12 status

Important contraindications include personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), history of pancreatitis, severe gastrointestinal disease including gastroparesis, and pregnancy or planned pregnancy (these medications should be discontinued at least 2 months before a planned pregnancy)

Furthermore, this case highlights the importance of considering targeted screening and preventive nutritional strategies for older adults, particularly those over 60-70 years of age who frequently present with non-specific neurological symptoms

Incorrectly assuming that dyskinesia is a subcode of G20 in the WHO ICD-10