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Thrombocytosis: Dangerous Increase in Blood Platelets B12 replacement therapy can trigger significant thrombocytosis (excessive production of platelets, the blood cells responsible for clotting)

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Injection-site redness or irritation, transient lightheadedness or flushing, mild fatigue, and occasional nausea

This makes it harder for their bodies to process and eliminate toxins, increasing their toxic burden

Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of medicines best kept secret. 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (019%), but the majority of doctors still remain unaware of this treatment option (61%)