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The only effective treatment for pernicious anemia is vitamin B12 shots

The answer is not one-size-fits-all, but understanding how each option works makes the choice much clearer

This article outlines an approach to interpreting and working up a high serum B12 in adults by separating four possibilities: intake-related elevation, disease-associated hypercobalaminemia (an elevated blood B12 associated with an underlying condition), analytical interference, and functional deficiency

These reactions are usually mild and self-limiting, but they can be concerning for people who are new to injectable medications

Methyl B12 deficiency certain breeds that are predisposed to B12 deficiency are the Giant Schnauzer, Beagle, Border Collie, Shar Pei and Australian Shepard

Peptides are not recommended for individuals with certain medical conditions, pregnant or breastfeeding women