People with conditions that affect the small bowel, including Crohns disease, Celiac disease (11-41% of patients with celiac will have B12 deficiency), Small intestinal bacterial overgrowth (SIBO), parasite infections, such as giardia, tapeworm, chronic pancreatitis, and advanced liver disease
Why this matters: Injecting water forcefully onto the dry powder generates foam, creates mechanical stress on the peptide chains, and can reduce potency
However, the high concentration makes it harder to measure very small doses accurately
EllieMD connects all aspects of your care to provide a seamless, attentive experience
It possible that current B12 deficiency treatment protocols for those with PA are poorly designed and that injections should be much more frequent but of a lower dosage (for example) to more effectively control symptoms