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Could older adults with impaired absorption respond differently

Im on my second course of steroids in 11 days, yesterday I got a steroid IM injection and so far nothing has helped

The mammalian sirtuins (Sirt1--Sirt7) participate in a number of cellular and physiological functions such as gene silencing, apoptosis, mitochondrial function, energy homeostasis, and longevity [237].Transgenic mice with overexpression of the sirt1 gene demonstrate decreased lipid-induced inflammation, improved glucose tolerance, and protection from hepatic steatosis when fed a high-fat diet [238]

If that is you, it is understandably worrying, but in almost all cases it is short-lived and harmless

Already using B12