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How to schedule b12 injections with Iron & folate supplements?

Shajarin profile image
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I'm probably deficient in b12 so I started b12 injection therapy. After initiating the therapy the blood count test showed mild decrease in iron level so I would like to start supplementing with "gentle Iron"/Solgar 40Mcg and maybe with folate 400mcg as well (though no folate incline noted).

So first of all is it good to supplement with folate during b12 therapy regardless of folate deficiency? And more importantly I would like to learn from you guys what is the best way to schedule the treatment?

I inject cianocoblamin 1000 mcg each early afternoon on alternate day (cause I have neurological symptoms) and thought about taking the iron on empty stomach one hour before lunch and maybe the folate with lunch? is it important to have breaks between the doses of each supplement for better absorption?

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Shajarin
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fbirder profile image
fbirder

If your B12 deficiency is caused by PA then it will likely affect absorption of iron and folate as well.

Taking 400 mcg of folate a day should be no problem (women of childbearing potential are advised to take that dose).

The NHS recommends you get all your iron from your diet, which may be difficult if you are vegetarian (lots of iron-rich vegetables block absorption of iron - compoundchem.com/2018/07/17.... Taking supplements of more than 20 mg may cause unpleasant side effects - nhs.uk/conditions/vitamins-...

When taking both iron and folate together one will not affect absorption of the other.

Iron supplements are best taken without food. Folate can be taken with, or without, food.

Shajarin profile image
Shajarin in reply to fbirder

Ok good to know, thanks!

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