
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.
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Oct 11, 2026
Episode 630: Vitamin B12 Deficiency: Monthly shots or daily pills?
4:54
5:10
5:23
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4:49James McCormackHOST
And so what did they, they obviously followed people for a while and what did they find?

Karenn ChanGUEST
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.

Karenn ChanGUEST
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.

Karenn ChanGUEST
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.
Episode 629: Deprescribing Cholinesterase Inhibitors: Good or bad idea?
3:02
3:08
3:16

Karenn ChanGUEST
I'm always sometimes surprised with how few studies there are about certain topics.

Karenn ChanGUEST
For this one, really, we found basically five studies in patients with moderate to severe dementia.

Karenn ChanGUEST
We kind of separated the evidence a little bit into the patients with severe dementia versus moderate patients.
17 MINS LATER