Keeping this in a regulated pharmacy is not the risk in the room
At typical dietary doses, B12 is absorbed at a rate of about 40-50% by way of intrinsic factor
Conditions such as Crohns disease or Celiac disease can inflame the gut lining, making it difficult for the small intestine to absorb B12 efficiently
Metabolic unpredictability: Simultaneously altering multiple metabolic pathways incretin signalling, glucagon activity, and NAD+ metabolism without clinical oversight introduces unpredictable physiological consequences
We recommend that the ASM participant explore entering into a CCA with a primary care practice with whom the ASM participant shares a meaningful portion of their Medicare patients, to maximize the impact of the CCA activities
Typically, conventional treatment involves the administration of high-dose vitamin B12 injections