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But the slowed gastric transit affects the absorption of multiple nutrients, and B12 is particularly vulnerable

Individuals with specific health conditions or allergies should seek medical advice first

Heres my game plan: Test for intrinsic factor antibodies if my doctor offers this Try high-dose sublingual B12 (5000mcg daily) for 8 weeks as a test If my B12 stays below 400 pg/mL, go straight to injections Calculate the cost difference to justify the investment The 10% Rule If youre absorbing less than 10% of your oral B12 (you can estimate this by comparing your supplement dose to your blood response), weekly shots often cost less than daily high-dose pills

These shots can boost B12 levels, giving faster results in energy and metabolism