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Karenn Chan

Karenn Chan

Dr. Karenn Chan is an Associate Professor of Family Medicine and Care of the Elderly physician at the University of Alberta, and a frequent contributor to Tools for Practice.

Oct 11, 2026

4:49
And so what did they, they obviously followed people for a while and what did they find?
4:54
Yeah, so after about three or four months, they kind of rechecked everybody's vitamin B12 and they looked at some of them, the hemoglobin at the end because vitamin B12 deficiency is oftentimes related, or sorry, associated with anemia, although not always.
5:10
And so they wanted to make sure, were these patients still in movement? And then they wanted to know too, because vitamin B12 deficiency can be quite severe.
5:20
You can have like some pretty bad neurological symptoms.
5:23
And just like a little anecdote here, as I was a learner, my first case of vitamin B12 deficiency was somebody who presented like they had a stroke.
5:31
And it was because they had no B12 in their body.
5:35
So, you know, we wanted to know that too.
7:12
Yeah.
2:57
So what did you guys find?
2:59
Yeah.
2:59
And so, you know, there was a few studies.
3:02
I'm always sometimes surprised with how few studies there are about certain topics.
3:08
For this one, really, we found basically five studies in patients with moderate to severe dementia.
3:16
We kind of separated the evidence a little bit into the patients with severe dementia versus moderate patients.
3:21
And these studies, they separate the patients really based on their MMSE score.

17 MINS LATER

20:49
Um, keep going.

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