This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation
While AOD-9604 has shown minimal interactions in studies, individual situations vary, particularly when multiple medications are involved
The same research group also investigated local injection of methyl-B12 in optic herpetic neuralgia alongside local lidocaine injection versus systemic B12 administration, i.m
Seek urgent GP assessment if you experience progressive neurological symptoms, as delayed treatment may result in irreversible nerve damage
These include: Pernicious Anemia: An autoimmune disease that stops the stomach from making a protein needed for B12 absorption