For example, after a total gastrectomy, we recommend that patients get B12 supplementation often in the form of B12 injections for the rest of their lives
A healthcare provider administers B12typically in the methylcobalamin or cyanocobalamin formvia intramuscular injection, usually in the upper arm or hip area
Whether these rapid responses reflect true biological effects or placebo components remains difficult to distinguish
The most common starting point is 250 mcg twice daily, totaling 500 mcg per day
Thinking that all people with PA can be managed with one injection every two months is as dumb as thinking that every person with diabetes can be sufficiently treated with 20 units of long-acting insulin each day, because the fact that in people without diabetes, the average pancreas manufactures only 20 such units each day and, by this, keeps the blood glucose normal
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