It is also important that your Folate level is monitored as this is essential to process the B12.
There is a complex interaction between folic acid, vitamin B12 and iron. A deficiency of one may be "masked" by excess of another so the three must always be in balance.
Symptoms of a folate deficiency can include:
symptoms related to anaemia
reduced sense of taste
diarrhoea
numbness and tingling in the feet and hands
muscle weakness
depression
Folic acid works closely with vitamin B12 in making red blood cells and helps iron function properly in the body.
It would pay you to have your Folate level checked but personally I have taken 1 – Folic Acid 400μg tablet every day for more years than I can remember in addition to what can be found fortified into many breakfast cereals etc.
Do you have an absorption problem causing your B12 deficiency?
I'm not a medically trained person but have had P.A. for 46 years and get cyanocobamalin B12 injections every three weeks.
after loading doses it is not the serum B12 level that should determine your treatment it is your symptoms.
B12 levels in your blood will be astronomic after your shot and then reduce over time as small amounts are used, but mainly becasue excess is removed by your kidneys, or lost because your body tries to store it in the liver but as it is released through the ileum most if it then passes through the gut rather than being reabsorbed in the ileum.
The rate at which you lose B12 is greater when the levels of greater
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