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Chronic gout can lead to inflammation in other joints (arthritis), potentially damaging cartilage and bone, which can affect mobility

Excessive alcohol consumption is well-documented to impair B12 absorption and metabolism

It helps form red blood cells and DNA synthesis and is essential for proper brain function

Jaul E, Barron J (2017) Age-related diseases and clinical and public health implications for the 85 years old and over population

This helps with cell metabolism

Selenium levels, though less commonly tested, play important roles in antioxidant protection of hair follicles and may warrant evaluation in patients with concurrent autoimmune conditions or significant oxidative stress markers