Where the cause is dietary, tablets can hold your levels between or instead of injections
Criteria for treatment and management Optimum maintenance dose is 1000 g at intervals of 12 weeks Follow-up annual blood count is required to avoid relapse You see the obsession with blood values and yet no instruction to listen to patients, some of whom relapse only a matter of days post injection
Most patients who are overcoming unhealthy eating habits historically have not been consuming adequate amounts of foods that contain important B vitamins that help fuel energy levels and work to keep the metabolic system functioning properly
No desire for sweets, potato chips, sugary drinks
It is not known if supplementation with choline or betaine, like supplementation with folic acid (see Folate above), will lower the incidence of NTDs
Patients on Certain Medications Metformin, proton pump inhibitors, and H2 blockers can reduce B12 absorption over time