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Cook is deeply committed to patient education and long-term outcomes, having authored peer-reviewed publications and trained residents and fellows through affiliations with Cleveland Clinic Florida and the University of Miami

The Ottawa Hospital 21.Sterne JA, Hernn MA, Reeves BC et al (2016) ROBINS-I: a tool for assessing risk of bias in non-randomized studies of interventions

(2013) 8:e83688

Nervous System Support

consider periodic monitoring in at-risk patients) Those taking PPIs or H2-antagonists for extended periods Post-bariatric surgery patients (routine supplementation according to BOMSS guidelines) Elderly individuals with atrophic gastritis Patients with inflammatory bowel disease affecting the terminal ileum Patient safety advice includes recognising warning signs of deficiency recurrence: increasing fatigue, neurological symptoms (numbness, tingling, balance problems), or mood changes