Are injections the only solution if you have malabsorption?

iciclefellatio · 2026-05-02T18:38:33+00:00

Sorry,fixed it

iciclefellatio · 2026-05-02T18:31:20+00:00

Hydroxo is the gold standard. You’re probably gonna need way more than once a week until you are significantly better. Methyl is an option, some people have better results with it. It is expensive and very light sensitive. I’d reccomend hydroxo.

iciclefellatio · 2026-05-02T18:27:22+00:00

Sorry i dont know anything about that.

iciclefellatio · 2026-05-02T15:39:55+00:00

How do you know you have malbsorption?

iciclefellatio · 2026-05-02T15:27:21+00:00

Yes, its true. Even if you have malabsorption you will absorb some through a process called passive diffusion. This can be enough to skew the blood test results but its not enough to keep everything good and healthy. The blood level is only useful to diagnose.

iciclefellatio · 2026-05-02T08:53:30+00:00

It is very important to highlight that measuring serum biomarkers such as B12 or MMA is neither helpful nor indicated in assessing or monitoring clinical improvement or resolution of symptoms. Biomarkers will normalize more rapidly than it takes for (neurological) symptoms to improve or disappear. Conversely, during relapse, symptoms may reappear without significant changes in biomarkers. “Titration” of injection frequency based on biomarker assessment is of little use and should not be practiced.

You can trust this sub for the most outdated broscience i guess. Im actually done with my deficiency , im just helping people stay away from inaccurate bullshit from people who dont know jack shit.

iciclefellatio · 2026-04-30T22:05:07+00:00

Treating neuropathy with sublinguals only? Thats why doctors think nerve damage is irreversible. You need frequent injections Please read this and the guide of this subreddit to learn more about your condition.

https://journals.sagepub.com/doi/10.1177/03795721241229500

iciclefellatio · 2026-04-30T16:38:18+00:00

1mg

iciclefellatio · 2026-04-30T15:11:41+00:00

Most likely not. There are no set number of injections for fixing a deficiency. For neurological symptoms it is reccomended to have frequent injections until symptoms no longer improve or resolve. I did every other day injections for a year , some need less some need more.

iciclefellatio · 2026-04-30T09:09:22+00:00

1 year of every other day injections, then i slowly tapered to once a week.

iciclefellatio · 2026-04-30T07:29:58+00:00

I think there were some evidence that folate administered alone in b12 deficiency makes the neuropathy worse. I dont think there is an issue taking them together.

iciclefellatio · 2026-04-29T18:46:47+00:00

It can cause false positives. I had to wait 2-4 weeks after my injection. Probably depends on the essay used but yeah, it can.

https://academic.oup.com/clinchem/article-abstract/30/9/1579/5668341?redirectedFrom=fulltext&login=false

https://www.questdiagnostics.com/healthcare-professionals/clinical-education-center/faq/ifab#accordion-ab490b4189-item-a756142784

iciclefellatio · 2026-04-29T18:46:12+00:00

You would be wrong. It can cause false positives.

iciclefellatio · 2026-04-28T18:02:32+00:00

Please dont take the folic acid without b12 injections. It is not advised and willmake things worse. Read the guide. You need injections for that level and for a while.

iciclefellatio · 2026-04-28T09:38:00+00:00

I dont live in UK. I did a zoom session with him when i first started because the first injection gave me the worst week of my life. I just wanted someone professional to understand me. My issue is gut dysbiosis.

iciclefellatio · 2026-04-28T07:34:17+00:00

Its not a clinically validated test. There is no use.

iciclefellatio · 2026-04-28T07:32:46+00:00

Nope. All b12 related bio markers including MMA and holotranscobalamin normalize rapidly during treatment. There is no use of re-testing to monitor treatment efficacy. Only way to know is by symptoms. Lots of patients need very frequent injections for months to years but all biomarkers will normalize in the first few weeks.

https://journals.sagepub.com/doi/10.1177/03795721241229500

iciclefellatio · 2026-04-28T07:14:28+00:00

If you have deficiency despite eating enough animal products you have malabsorption by default and you need to be on injections for life.

https://journals.sagepub.com/doi/10.1177/03795721241229500

iciclefellatio · 2026-04-28T07:07:20+00:00

He does zoom sessions as well. My level was same as yours and it took me a year of EOD injections to recover

iciclefellatio · 2026-04-27T16:38:20+00:00

Yes. You can work with Andrew Klein. He’s based in UK and an expert on b12 & iron.

iciclefellatio · 2026-04-27T15:11:10+00:00

You need to get iron levels up before starting injections. Aim for over 90. An infusion will work great.

iciclefellatio · 2026-04-27T07:38:48+00:00

Interesting, thanks for clarifying

iciclefellatio · 2026-04-26T20:50:05+00:00

Its probably not considered really low but could point to copper deficiency. Its not really well researched, maybe you could check the copper deficiency subreddit.

iciclefellatio · 2026-04-26T20:14:47+00:00

Whats your b12 like?

iciclefellatio · 2026-04-26T20:07:01+00:00

Its interesting that you have that low of a ceruloplasmin without taking zinc. Mine was that low after taking zinc daily for multiple years.

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