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If Ive had a recent change in my health say, a new diagnosis, a new medication or a recent illness does that affect when or whether I should get vaccinated this year

For people who cannot tolerate GI side effects or who have medical conditions that make GLP-1 agonists risky, this safety differential is not a minor footnote

The deficiency can be caused by a range of nutritional problems, including a lack of intrinsic factor, achlorhydria, ileal disease, malnutrition, and malabsorption syndromes.2 Diagnosis and treatment are of great clinical importance, mainly because of the progressive hematologic and neurologic involvement

10.1007/s11064-022-03530-2 222 SimunkovaM.AlwaselS