b12 injection alternative to injections best form of Archives Vitamin B12 Injections for Pernicious Oral Vitamin B12 Replacement for

Comparing Pernicious Anaemia to Other Causes of B12 Deficiency Pernicious Anaemia Caused by antibodies against intrinsic factor, a lack of intrinsic factor and/or autoimmune destruction of stomach cells that produce intrinsic factor

[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

Clinical assessment and full blood count showing macrocytic anaemia are also important, though neurological symptoms can occur without haematological changes

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