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The uneducated clinicians will say, you dont have Intrinsic factor antibodies (IFA) so you dont have pernicious anaemia (PA) and so you will stay on tablets because we decided you can now miraculously absorb B12 from food! This ludicrous concept crops up frequently (I have blogged about it before here.) It needs repeating so often PA is just one of many causes and they are all serious and need correct treatment
its pro-safety and pro-science
Review these records regularly to identify storage problems
Moderate damage/restoration: 500-750 mcg daily (split into 2-3 doses), lasting 4 weeks, then reduce to 250 mcg
Then, patients move to monthly maintenance doses to keep B12 levels steady over time
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