This is where the work of organizations like the Pernicious Anaemia Society is so important in bridging that gap and advocating for a more empathetic, scientifically-grounded, and flexible approach to patient care
When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects
I did this specifically so I could keep as great a number of ampoules in stock as possible at any one time, to give me a decent buffer time to sort out new supplies, if ever we can't get them by post as we do now
[12] [13] Start gradually, particularly after caesarean delivery, and seek guidance from a physiotherapist if experiencing pelvic floor concerns
Specifically, B12 deficiency can result in megaloblastic anemia
It is a moot point for me as I do not methylate B12 well without self testing for that reality
