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B12 supplementation in elderly patients with confirmed deficiency typically takes two main forms in the UK: Oral tablets (cyanocobalamin) Intramuscular injections (hydroxocobalamin, the standard form in the UK) NICE Clinical Knowledge Summary guidance recommends investigating B12 deficiency in older adults presenting with unexplained anaemia, neuropathy, cognitive impairment, or glossitis

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Alternatively, it has been reported that treatment of allicin inhibits DNA, RNA, and protein synthesis in bacteria, and the inhibition of RNA synthesis is more profound (Feldberg et al., 1988)