Injectable medicines must stay sterile, which is part of why they are kept in controlled conditions and never decanted or topped up
Separate high-dose oral b12 (1000 to 2000 mcg daily) or regular b12 injections (1000 mcg weekly or monthly) offer more reliable repletion
About 20% of the relatives of pernicious anemia patients also have the condition, suggesting a genetic predisposition
This includes maintaining a stable weight through diet and exercise, avoiding smoking, and taking care of your incisions during the early part of your recovery journey
When B12 levels fall below optimal ranges, the integrity of this myelin sheath can become compromised, potentially leading to nerve damage known as peripheral neuropathy
For proper absorption of vitamin B12, hydrochloric acid is required