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Since meat and dairy are major dietary riboflavin contributors, the National Institutes of Health lists vegans and vegetarians at risk for deficiency

10.1016/j.mvr.2023.104510 Kay P, Yang YC, Hiscott P, Gray D, Maminishkis A, Paraoan L: Age-related changes of cystatin C expression and polarized secretion by retinal pigment epithelium: potential age-related macular degeneration links

Diagnosis involves a physical exam, medical history, and several tests, including diagnostic imaging such as MRI or CT scans, the edrophonium test (tensilon test), electrodiagnostics such as single fiber electromyography (EMG), pulmonary function tests, physical exams, neurological exams, and blood tests