So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]
B12 Energy Boost : Known for enhancing energy levels, injections are often leveraged to combat fatigue
If serum B12 is above 500 pg/mL with normal MMA, you are likely sufficient
N Engl J Med (2013) 368(2):14960.10.1056/NEJMcp1113996 3 BerlinHBerlinRBranteG
We caught the fantastic Dr MJ MJ Rowland-Warmanns instagram stories earlier this week where she gave her very honest and frank thoughts on some of the treatments available out there
Gently swirl the vial until the powder is fully dissolved