“I read a journal article earlier today that said that many people getting shots could take tablets instead. Not sure I agree..”
indeed ... lots of claims that sublingual B12 is good enough, but my internist, who’s actually a specialist in pernicious anemia, says not using injectable B12 for those who have actual pernicious is complete BS ... both he and my regular doc are big believers in frequent, large doses of injectable B12 for pernicious anemia ...
i inject 20,000 units once a week, AND i inject compounded methylcobalamin, one of the two active forms, rather than the “officially” recommended 1,000 units once a month of cyanocobalamin, which is the shelf-stable form that regular pharmacies like to stock, but has to be converted by the body to methylcobalamin ...
I would go a step further and investigate why the parietal cells are not working properly.
I’ve had patients where the cause was cancer in the fundus where they are located that went undetected for years.