With a chronic autoimmune condition like pernicious anaemia many of us have found that we have to advocate for ourselves so understanding the guideline is important for the patient as well as the doctor and our mission is to ensure we improve communication and ultimately improve the guideline as we build on research in the future
Some types of edible algae and fermented foods may also contain small amounts, but they arent reliable sources
Route Published human studies mainly used oral and intravenous forms
If response at 300mcg appears minimal after two weeks, increase to 400mcg
Key markers include fasting glucose and insulin (to assess insulin sensitivity), HbA1c (long-term glucose regulation), lipid panel (triglycerides, HDL, LDL), resting metabolic rate via indirect calorimetry, and body composition via DEXA scan (to differentiate fat loss from lean mass changes)