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If a clinician pooh-poohs a request for a vitamin B12 check because an older person had a recent normal blood count, you can share this research article with the clinician

Force Majeure BGX is not responsible for delay or failure caused by events beyond reasonable control, including carrier disruption, natural disaster, fire, labor dispute, epidemic, war, civil unrest, cyberattack, supplier interruption, government action, regulatory change, or utility and network failure

COX-2/sEH dual inhibitor alleviates hepatocyte senescence in NAFLD mice by restoring autophagy through Sirt1/PI3K/AKT/mTOR

Sorry if that's not what you were hoping for, but as you say, it seems to be the most stubborn symptom for sure