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Older adults are at a higher risk
all are equally effective, so choice is based on individual factors Discuss urate-lowering treatment with all patients with gout at their first presentation (even if it is not prescribed), and encourage regular and consistent use when indicated
1,2 Although not clinically validated or available for widespread use, measurement of holotranscobalamin, the metabolically active form of vitamin B 12 , is an emerging method of detecting deficiency
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