Pernicious anemia occurs in patients who do not have enough vitamin B12 in their diet (e.g., strict vegetarians) or who cannot adequately absorb the vitamin due to a defect or disease of the stomach or intestines
"Elevated methylmalonic acid is related to cognitive impairement in older adults enrolled in an elderly nutrition program"
For general context, see peer-reviewed articles in major journals (reading list below)
Most of our B12 appointments are available within 24 hours, and often on the same day you call
However, the frequent and painful IM injections present a great burden for patients and their families, and subcutaneous (SQ) OHCbl administration has been suggested as an alternative parenteral route [9]
Shima Hadidchi , patients can experience significant benefits from Mounjaro as part of their weight loss journey