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Due to the half-life of the dsRNA, the effectiveness of RNAi gradually weakens with an increasing length of time after treatment, so there may be a discrepancy in the life events (such as laying and hatching of eggs) after engorgement of ticks

Risk factors that should prompt consideration of B12 deficiency include advancing age (reduced stomach acid production), strict vegan or vegetarian diets, pernicious anaemia, gastrointestinal surgery (particularly gastric bypass or ileal resection), long-term use of certain medications (metformin, proton pump inhibitors, H2-receptor antagonists), nitrous oxide exposure (including recreational use), and conditions affecting the gut such as Crohn's disease or coeliac disease

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