Step 2 Get prescribed A licensed provider will review your health information and recommend a personalized treatment plan
Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12
No trial reported on clinical signs and symptoms of vitamin B 12 deficiency, health-related quality of life, or acceptability of the treatment scheme Orally taken vitamin B 12 showed lower treatment-associated costs than intramuscular vitamin B 12 in one trial
It also depends on how well the person responds to treatment and their overall health
DOI: 10.1158/1055-9965.EPI-17-1136 Morales-Gutierrez J et al, "Toxicity induced by multiple high doses of vitamin B 12 during pernicious anemia treatment: a case report." Clinical Toxicology, Feb
It stimulates lipolysis (breakdown of stored fats) and inhibits lipogenesis (formation of new fat), primarily via activation of -adrenergic and AMP-activated protein kinase (AMPK) pathways