The world of metabolic health and weight management is full of different tools, each with a unique mechanism of action
Inadequate secretion of intrinsic factor, resulting from lesions that destroy the gastric mucosa (ingestion of corrosives, extensive neoplasia), and a number of conditions associated with a variable degree of gastric atrophy (such as multiple sclerosis, certain endocrine disorders, iron deficiency, and subtotal gastrectomy)
Clinical assessment and full blood count showing macrocytic anaemia are also important, though neurological symptoms can occur without haematological changes
Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement
Vitamin B12 is an essential nutrient that many people dont get enough of in their diets