It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of
Chronic Infections Chronic infections, including viral, bacterial, and fungal infections, can impact your entire body and increase your risk of various health issues, including blood clotting
Remember that whether you choose to use vitamin B12 in supplement form or not to resolve deficiency symptoms, its important to identify the real reason youre struggling with deficiency in the first place
The GIP receptor activation adds another layer
J Pediatr
Potential Benefits Fertility preservation: Maintains intratesticular testosterone and spermatogenesis during TRT [3] [4]
