Treatment may include a shot of vitamin B12 once a month. Having a difficult time walking or speaking like you usually do. Dorgan JF, Jung S, Dallal CM, Zhan M, Stennett CA, Zhang Y, Eckert RL, Snetselaar LG, Van Horn L. Cancer Causes Control. Functional vitamin B12 deficiency. . Harmful Effects Vitamin B-12 deficiency negatively affects. Drinking alcohol, even in moderation, can have profound effects on the way your body absorbs vitamin B-12 and, if you are deficient in this vitamin, your health may suffer. Brand names: Vitamin B12, Vitamin B-12 More severe side effects of vitamin B12 deficiency include: Untreated vitamin B12 deficiency can lead to severe neurological (nervous system) damage, which can put an individual at a higher risk of mortality. This can happen as the result of a problem known as . Mayo Clinic does not endorse any of the third party products and services advertised. Before the unsubscribe link in the e-mail. Studies show that even a little amount of alcohol can decrease vitamin B12 absorption by about 5-6%. American Family Physician. Copyright www.ranimd.com. To provide you with the most relevant and helpful information, and understand which You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. More severe side effects of vitamin B12 deficiency include: Peripheral neuropathy. Both vitamin B12 deficiency and folate deficiency are more common in older people, affecting around 1 in 10 people aged 75 or over and 1 in 20 people aged 65 to 74. Hypothyroidism particularly if due to Alcohol is a metabolic poison and can affect heart function as well. At least 4% of people aged 40 to 59 years old. Studies show that even a little amount of alcohol can decrease vitamin B12 absorption by about 5-6%. Brand names: Vitamin B12, Vitamin B-12 You can read my review of Calm Support here, and you can read more about Sleep Support in my article on alcohol withdrawal insomnia. Alcohol is a poison that never did anybody any good, ever. . What is the purpose of a vitamin B-12 level test? What should I avoid while using Vitamin B12 injection? Tell any doctor who treats you that you are using Vitamin B12 injection. Wong, C. W. (2015). Thanks! Vitamin B12 shots are injections that a doctor may prescribe to treat a vitamin B12 deficiency, especially if a persons body has difficulty absorbing the vitamin. The goal of treatment is to increase your vitamin B12 level. 1 every 2 mth in uk in using alcohol wipe? Examples include cimetidine, famotidine and ranitidine. I take b12 shots. However, high doses of oral vitamin B12 might also be effective. It is often treated with cyanocobalamin, a man-made form of vitamin B12. Vitamin B12 deficiency causes many skin conditions like hyperpigmentation, acne, eczema, psoriasis, vitiligo and can lead to hair problems. Chris Scott founded Fit Recovery in 2014 to help people from around the world dominate alcohol dependence and rebuild their lives from scratch. Treatment periods were preceded by 2-5-week washout periods. Or are you a person who likes to finish your day with a small drink? Many people have found Calm Support and Sleep Support to be an extremely powerful combination for combatting cravings, getting their energy levels back, and sleeping better after quitting drinking. If they inject it into a vein, the body may lose a high proportion as the person passes urine. You are also more likely to replace your meals with alcohol. Alcohol affects B12 absorption in the body in many ways. This content does not have an Arabic version. Follow all directions on your prescription label and read all medication guides or instruction sheets. Two common types of GERD medicines have been associated with B-12 deficiency to varying degrees: H-2-receptor blockers. My dad has macrocytic anemia. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Because of this, your diet may lack foods that are good sources of vitamin B-12. Popular Aesthetic Procedures for Women over 50, Transform Your Body and Face This New Year with Morpheus8, What is Mesotherapy Treatment? 50% off with $15/month membership. To learn more, please visit our, to drink on the the day of an important injection: are you taking the. Safety and Side Effects. Examples include omeprazole, esomeprazole and lansoprazole. l got a shot from a nurse she didn't clean my arm with an alcohol wipe. Here are the percentages of people who have vitamin B12 deficiency based on age ranges: Vitamin B12 deficiency happens if you are not eating enough vitamin B12 or your body is not absorbing the vitamin B12 you consume properly. Other people who may needs shots include those who have had gastrointestinal surgery if their digestive system cannot absorb vitamin B12 efficiently. Comments: Your body absorbs only as much as it needs, and any excess passes through your urine. She has a PhD in Nutritional Genetics from Imperial College London, and over ten years of clinical experience designing custom nutritional repair regimens for patients recovering from alcohol addiction. Vitamin B-12 deficiency is not common in the U.S. In reality alcohol is a poison. Available for Android and iOS devices. Medically reviewed by Drugs.com on Nov 28, 2022. A person is diagnosed with vitamin B12 deficiency if the amount of vitamin B12 in their blood is less than 150 per mL. https://naturalmedicines.therapeuticresearch.com. But you shouldn't take lots of it unless your doctor tells you to. Before I quit drinking, I had extremely low energy levels, tingling sensations in my limbs, and symptoms of an inflamed liver. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Suffer To Tougher, The Ups & Downs of Alcohol Recovery Ft. JohnnyO, Hyperbolic Discounting: The Invisible Force Preventing Addiction Recovery, GABA and Alcohol: GABA Supplement for Alcohol Withdrawal, Kudzu Recovery For Alcoholics: How It Works, All About DLPA For Addiction, Depression, PAIN & More, Quitting Alcohol Timeline and Body Repair After Quitting Drinking, Moderate drinking among healthy, middle aged women produced a statistically significant reduction in blood serum levels of vitamin B12 (, Supplementation in healthy women over 60 with vitamin B12 and other B-vitamins over 6 months reversed these nutrient deficiencies and decreased levels of homocysteine, a compound associated with cardiovascular disease (, Alcohol consumption in healthy male volunteers reduces B vitamin concentration, including vitamin B12, and raises levels of inflammatory compounds (, In severe alcoholics with liver disease, levels of vitamin B12 in the blood increase as the injured liver fails to hold on to stores of this vitamin (, Falsely high serum levels of vitamin B12 can be caused by alcoholic liver disease (. If a person experiences the following, or if these issues persist or worsen, they should seek medical advice: If anyone experiences difficulty breathing, hives, and swelling, they need emergency medical help. Research from 2010 looked at data from 689 men and found higher rates of vitamin B12 deficiency in those who consumed a plant-based diet. Nutrients. Two types of vitamin B12 injections are usually given - hydroxocobalamin and cyanocobalamin. If I were to quit drinking today, I would take two supplements that contain large doses of vitamin B12: Vitamin B12 is just the tip of the iceberg with these supplements. Low levels of a vitamin can result from eating a poor diet or not being able to absorb . Meat, milk, and cheese are good sources of vitamin B12. | Benefits of MIC injections, All You Need to Know About Laser Hair Removal. Research on the use of vitamin B-12 for specific activities and conditions shows: Most people get enough vitamin B-12 from a balanced diet. What Are the Best Treatments to Help Aging Skin? Please enable it to take advantage of the complete set of features! To know more about the services offered, visit us at, Medical Aesthetics vs Spa Aesthetics | Rani MD, MIC Injection All That You Need to Know about It, Getting lip fillers? Proton pump inhibitors. Vitamin B-12 supplements also are recommended for women who are pregnant or breastfeeding exclusively and follow vegetarian or vegan diets. low potassium level - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling. -100 mcg every other day for 7 doses, then: Are you a social drinker? Moderate-to-severe chronic alcohol consumption can have damaging effects on your stomach lining, causing a condition called atrophic gastritis, or . The study design was a randomized, diet-controlled crossover intervention. I find alcohol has a much stronger effect since my B12 has been low. For potential or actual medical emergencies, immediately call 911 or your local emergency service. All rights reserved. Answer From Daniel K. Hall-Flavin, M.D. When intrinsic factor is negatively affect by alcohol, your body will not be able to absorb sufficient amounts of this nutrient, leading to vitamin B-12 deficiency. For these, please consult a doctor (virtually or in person). Use a needle and syringe only once and then place them in a puncture-proof "sharps" container. Accessed Jan. 9, 2021. Vitamin B-12 injections or nasal spray might be prescribed to treat vitamin B-12 deficiency. When this occurs, the cells of the stomach cannot do their job of making and secreting a substance called intrinsic factor, which enhances B-12's absorption. Drug class: Vitamins. A 5 oclock beer on s three beer day turned into a 4 oclock 4 beer day Etc etc Then starting near (or just before) noon with 5 to 6 beers being regular. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. You usually pee out what you don't need. Last reviewed by a Cleveland Clinic medical professional on 04/25/2022. I too was eating right and in shape for years but alcohol was also my everyday diet and I have suffered for it mentally and in my relationships. It is toxic to the liver and the brain. With either type of medication, the risk of B-12 deficiency was significantly . ca 125 was normal at 9. Version: 3.01. Get emergency medical help if you have signs of an allergic reaction to Vitamin B12: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Untreated vitamin B12 deficiency can lead to anemia or irreversible nerve damage. Damaged gut lining - Alcohol directly damages the lining of the stomach and intestines, making it harder to absorb . Duration of therapy: Life Therefore, high blood serum levels for vitamin B12 can actually be a marker of liver disease, rather than a sign that the body overall contains optimal levels of vitamin B12. The objective of this study was to determine the effects of moderate alcohol intake on folate and vitamin B(12) status in healthy, well-nourished, postmenopausal women. Vitamin B12 is present in many dietary sources, such as: In animal-based foods, vitamin B12 binds to the protein molecules. https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional. Vitamin B12 helps your body use fat and carbohydrates for energy and make new protein . Vitamin B-12 injections and alcohol ingestion, Drexel University College of Medicine: Anemia B-12 Deficiency, University of Maryland Medical Center: Alcoholic Neuropathy, University of Maryland Medical Center: B-12 Deficiency Symptom. The daily recommended intake of vitamin B-12 for healthy adults is 2.4 micrograms. Hyperhomocysteinemia and Low Folate and Vitamin B12 Are Associated with Vascular Dysfunction and Impaired Nitric Oxide Sensitivity in Morbidly Obese Patients. Treatment depends on the cause of B12 deficiency anemia. If vitamin B12 deficiency is left untreated, it can cause lasting serious side effects that affect the nervous system and brain. Vitamin B12 plays an important role in maintaining the health of your nervous system and red blood cells. Some people can experience problems related to a vitamin B12 deficiency, despite appearing to have normal levels of vitamin B12 in their blood. Epub 2004 May 19. Im tall but light. Please seek professional care if you believe you may have a condition. Learn about the supplements and strategies that helpover 80%of people transcend alcohol, A focus on the physical changes in the brain that keep the cycle of addiction going and how to biohack thatthese are the pieces never addressed at AA! Greta. eCollection 2019 Oct. It is illegal for you to drink alcohol at your age. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. For pernicious anemia, you may have to use Vitamin B12 for the rest of your life. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. You might also face a higher risk of other deficiencies, including folate, of vitamin B-9. Basic (high quality)supplements are much safer than prescription drugs thatmask the symptoms of underlying nutrient deficiencies. Some of the signs of lower B12 levels in your body include: Treatment of vitamin B12 deficiency often includes dietary changes, B12 shots, or supplements. Untreated vitamin B12 deficiency can lead to anemia or irreversible nerve damage. AndRead more . How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, 20202025 Dietary Guidelines for Americans, https://www.ncbi.nlm.nih.gov/books/NBK441923/, https://rarediseases.info.nih.gov/diseases/10310/autoimmune-atrophic-gastritis, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933506/, http://lpi.oregonstate.edu/mic/vitamins/vitamin-B12, https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=579bd1fe-51a1-403f-a422-0fb701aab57d, https://www.sciencedirect.com/topics/food-science/recommended-dietary-allowance, https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494183/, https://pubmed.ncbi.nlm.nih.gov/25756278/. Symptoms of potential nervous system problems include: Confusion. Evaluate? One of the first symptoms is a feeling of generalized fatigue, often accompanied by either diarrhea or constipation. Design: However, a doctor can advise on an individuals specific needs. | Benefits of MIC injections. Careers. An older study indicated that moderate alcohol intake diminished vitamin B12 by 5% among "healthy,. If you have any questions about the relationship between vitamin B12 and alcohol, please post them in the comment box below. Vitamin B12 deficiency in the elderly: Is it worth screening? 24/7 visits - just $39! information and will only use or disclose that information as set forth in our notice of Accessed Jan. 9, 2021. However, low levels are rare in most healthy adults because the human liver stores vitamin B12 over time. b12 therapy for macrocytosis ineffective. If there is a deficiency of Vitamin B12, then it could lead to the accumulation of a compound called homocysteine. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. The fact that I had a very healthy diet for someone with severe alcohol dependence did not seem to matter. Low levels of B-12 and other B vitamins such as vitamin B-6 and folate may be linked to depression. B12 injections and alcohol. Vitamin B12 is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions. If you have risk factors for developing vitamin B12 deficiency or are experiencing symptoms, be sure to contact your doctor to get a blood test to check your levels. Vitamin B12 shots are a form of supplementation that contains a synthetic version of vitamin B12, or cyanocobalamin. Knowing how alcohol affects B12 absorption might help you make an informed decision about your drinking habit. Reduced levels of B12 vitamin can induce mood changes. Vitamin B12 may interact with certain medications. A 23-year-old female asked: If i am starting vitamin b12 injections, can i drink alcohol that same day? However, in very rare cases, some people can experience side effects . Alcohol abuse: Patients older than 75 years . So stay away from alcohol. A healthcare provider may teach you how to properly use the medication by yourself. it only takes 2 or 3 glasses of wine. Vitamin B12 is then able to be absorbed by your digestive system. Vitamin B12 deficiency can cause physical, neurological and psychological symptoms. However, since most alcohol-dependent people already have poor gut health, it is difficult for them to absorb enough vitamin B12 from foods alone. you can drink alcohol with cyanocobalamin. Bethesda, MD 20894, Web Policies Alcohol may act through altered status of folate and vitamin B(12), two vitamins required for DNA methylation and nucleotide synthesis, and thus cell integrity. Tell your doctor about any changes in your diet or medical condition. Nascobal, Neuroforte-R, CaloMist, Cobal 1000, +4 more. This is because shots enable the body to absorb vitamin B12 without it having to go through the digestive system. thank god I have support and unconditional love in my life. Vitamin B12 helps in the production of brain chemicals and also helps with some crucial brain functions. General physical symptoms of vitamin B12 deficiency can include: Neurological symptoms of vitamin B12 deficiency can include: Psychological symptoms of vitamin B12 deficiency can include: It can be difficult to diagnose vitamin B12 deficiency because symptoms are not always present or the symptoms can be similar to other nutritional deficiencies. health information, we will treat all of that information as protected health I have been drinking alcohol 5 or 6 and even sometimes 7 beers a day for about7 or 8 months. All rights reserved. It's found naturally in many foods, such as meat, fish and dairy products. Your child's dose will depend on age, weight, diet, and other factors. But the deficiency is something that can be caught and treatedor possibly prevented altogether. We comply with the HONcode standard for trustworthy health information. Your appetite may diminish, and you may exhibit shortness of breath and swollen, bleeding gums. Learn more here about vitamin B12, Many vitamin B-12 supplements contain much more of the vitamin than the body needs. You should not use Vitamin B12 injection if you are allergic to cobalt, or if you have Leber's disease. Call your doctor for medical advice about side effects. Indicators for assessing folate and vitamin B-12 status and for monitoring the efficacy of intervention strategies. While the recommended daily amount of vitamin B-12 for adults is 2.4 micrograms, higher doses have been found to be safe. As a result, people with alcoholism have decreased vitamin B-12 absorption and a higher risk of developing a B-12 deficiency. It is important to be aware of how your body absorbs vitamin B-12, as this knowledge can help you make an informed decision about the amount of alcohol you consume. Habitual alcohol consumption can affect levels of the B-12 vitamin in a number of ways. Blood collected at baseline and week 8 of each treatment period was analyzed for serum folate, vitamin B(12), homocysteine (HCY), and methylmalonic acid (MMA) concentrations. However, people who follow a vegetarian or vegan diet might be prone to deficiency because plant foods don't contain vitamin B-12. Tell your doctor about any changes in your diet or medical condition. You should not use Vitamin B12 if you are allergic to cobalt, or if you have Leber's disease. What Is the Best Non-Surgical Treatment for Wrinkles? Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. When there is reduced consumption of B12 vitamins along with its depletion due to alcohol, it can lead to various health conditions. What sort of risk of endocarditis few yrs after mitral repair when having 6 b12 loading doses in 2 weeks and Vitamin B-12 is added to some foods and is available as a dietary supplement. Sleep Support in my article on alcohol withdrawal insomnia, Binaural Beats Therapy for Addiction Recovery, The Journey of a Sober Mama Ft. Rachael Shephard, The Addiction Recovery Transformation Ft. With nutritional repair and natural remedies, trial and erroris the bestapproach. People with vitamin B-12 deficiency may have a variety of symptoms, including fatigue, nerve problems, and, People with alcohol use disorder may experience vitamin deficiencies. Short-term memory loss. Clipboard, Search History, and several other advanced features are temporarily unavailable. Vitamin B12 may cause serious side effects. There's no solid proof that vitamin B-12 shots, also called injections, help you lose weight. Research from 2015 suggests that vitamin B12 deficiency is more likely to affect those aged over 60 years and that some people may benefit from vitamin B12 injections. Of course still workout andRead more . In higher doses, it decreases the secretion severely. That said, some people have a higher risk of deficiency and may benefit from vitamin B12 shots or tablets. (2020). They have no major side effects. Sandoval C, Faras J, Zamorano M, Herrera C. Antioxidants (Basel). Alcohol affects B12 absorption in the body in many ways. Adults need around 2.4 micrograms (mcg) of vitamin B12 a day, and people who are pregnant or breastfeeding need more. B-12 is necessary for many biological functions, including the maintenance of blood and neural cells. How much alcohol consumption is safe in a day?if vitamin b12 levels below normal in a social drinker, how to correct , what regime to follow? The best ones have worked so well that theyve seriouslychanged my life. IBM Micromedex. There are two things that need to happen in order for your body to absorb vitamin B12 from the food you eat. This article will discuss the importance of vitamin B12, symptoms of deficiency, and how to repair this deficiency while covering other nutritional bases as well. Today, Chris is an Alcohol Recovery Coach and the creator of an online course called Total Alcohol Recovery 2.0. Last updated on Dec 28, 2022. Get FREE daily coaching messages from Chris Scott to help you quit or cut down on alcohol in just 10 days. Vitamin B12 can improve your mood during weight loss programs. Tell your doctor if you are pregnant or breastfeeding. At least 6% of people who are 60 years or over. Vitamin B-12 is also added to some foods, such as fortified breakfast cereals, and is available as an oral supplement. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Vitamin B12 is essential for the body to function properly since it helps with processes like red blood cell production, DNA synthesis, short-term memory, and more. (did drink alcohol 4 days prior to blood work, but typically drink once a week). The optimal way to repair an alcohol-induced nutrient deficiency is through supplementation. Causes and pathophysiology of vitamin B12 and folate deficiencies. Vitamin B12 is mostly stored in the liver and thus its deficiency can lead to an increased risk of liver disease and inflammation which is referred to as cirrhosis. Fight Skin Pigmentation Problems with Skin Rejuvenation Treatments! And, of course, if you're not eating a balanced diet, you could miss out on other nutrients crucial for good health, including vitamin C, protein, dietary fiber and more. Epub 2011 May 18. Dermatologist Approved Tips for Spring Skincare Routine, Everything You Need to Know About Morpheus8, Roll Back the Years at Todays Skin Rejuvenation Clinics, 5 Skin Rejuvenation Treatments That Can Make You Look Younger, Importance of good skin care practice | Skin Care Practice, 5 Treatments to Get Rid of Sagging Skin and Get Tightened Youthful Skin Instead. Use the medicine exactly as directed. Situations or conditions that can cause vitamin B12 deficiency include: Vitamin B12 deficiency can cause physical, neurological and psychological symptoms. An increase in homocysteine is associated with an increased risk of heart attack and stroke. and transmitted securely. If clinical improvement and reticulocyte response is seen from the above dosing: Few adverse effects have been reported from healthy people taking very large doses of vitamin B12. Typically, people are asked to fast for 12 hours before the test. If a person has low vitamin B12 levels due to a health condition, a doctor may recommend oral supplementation or injections of the vitamin. The mainstream addiction treatment industry all but ignores the role of nutrition in healing from alcohol addiction. To make matters worse, for alcoholics suffering from depression, it also leads to poor response to antidepressant medication. Vitamin B12 is an important nutrient that helps your body keep your nerve cells and blood cells healthy. Vitamin B12. If you are experiencing symptoms of vitamin B12 deficiency or are at risk for developing vitamin B12 deficiency, contact your healthcare provider to see if you should take a blood test to measure your vitamin B12 level. Green TJ, Houghton LA, Donovan U, Gibson RS, O'Connor DL. Vitamin B-12 (cobalamin) plays an essential role in red blood cell formation, cell metabolism, nerve function and the production of DNA, the molecules inside cells that carry genetic information. A healthcare provider may teach you how to properly use the medication by yourself. This is the case because damaged liver cells can no longer maintain crucial stores of vitamin B12, letting them loose into the blood. Why Is Mesotherapy Treatment Used for Hair Fall Problems? Ive never had a bad reaction to vitamins or natural supplements. People can have a vitamin B12 deficiency without having anemia. Rani MD is a skin care clinic in San Jose and we offer a variety of aesthetic treatments starting fromPRP treatmentto MIC injections. Although alcohol is considered to be an appetite stimulant, too much alcohol can have a negative effect on your diet. An Updated Review. Haloul M, Vinjamuri SJ, Naquiallah D, Mirza MI, Qureshi M, Hassan C, Masrur M, Bianco FM, Frederick P, Cristoforo GP, Gangemi A, Ali MM, Phillips SA, Mahmoud AM. Association of dietary intakes of vitamin B12, vitamin B6, folate, and methionine with the risk of esophageal cancer: the Japan Public Health Center-based (JPHC) prospective study. Most people enjoy drinking alcohol, but even moderate amounts of alcohol consumption can have negative effects on the amount of vitamin B-12 you absorb. privacy practices. Methylcobalamin. Best food forward: Are algae the future of sustainable nutrition? WANT TO DOMINATE ALCOHOL AND LIVE YOUR BEST LIFE? -Administer concomitant folic acid if needed. Pernicious anemia is also treated with folic acid to help maintain red blood cells. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. If you're taking hydroxocobalamin, keep the following things in mind: Although this injection takes effect right away, it may take some days or even a few weeks for . We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. This medicine can lead to optic nerve damage (and possibly blindness) in people with Leber's disease. Postmenopausal women (n=53) received three 8-week alcohol treatments in random order: 0, 15, and 30 g/day. Your child's dose will depend on age, weight, diet, and other factors. Usual Pediatric Dose for B12 Nutritional Deficiency: Call your doctor for instructions if you miss a dose. StatPearls [Internet]. Gastritis reduces the production of hydrochloric acid which leads to the growth of intestinal bacteria. Pernicious anemia is also treated with folic acid to help maintain red blood cells. Consider getting your heart checked out, possibly by 2d echo. Ast is normal at 23, alt slightly elevated at 42, b12 at 1183, folate and others normal. Additionally, if a vitamin B-12 deficiency is severe, megaloblastic anemia can occur. Mayo Clinic does not endorse companies or products. why? Use Vitamin B12 exactly as prescribed by your doctor. Vitamin B12 mainly occurs in animal foods, so people who follow a plant-based diet have a higher risk of vitamin B12 deficiency. The simple answer to this question isyes. Do not stop using the medicine unless your doctor tells you to.
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