Medical conditions affecting absorption warrant particular attention : Pernicious anaemia : an autoimmune condition destroying gastric parietal cells, requiring lifelong B12 injections Gastrointestinal surgery : particularly gastric bypass, gastrectomy, or terminal ileum resection Inflammatory bowel disease : Crohn's disease affecting the terminal ileum impairs absorption Coeliac disease : untreated disease damages the small intestine, reducing B12 uptake Medication use : long-term metformin therapy (MHRA safety alert) or nitrous oxide exposure Symptoms suggesting possible B12 deficiency include : persistent fatigue, weakness, paraesthesia (pins and needles) in hands or feet, glossitis (sore, red tongue), mood changes, memory problems, or unexplained anaemia
Hydroxycobalamin Hydroxycobalamin injections are a powerful form of vitamin B12 that provides longer-lasting benefits than standard B12 treatments
Am I a candidate for ThermiSmooth
Hormone Replacement Therapy (HRT): When balancing hormones like testosterone or thyroid, B12 acts as an excellent complementary treatment to restore natural vitality
All these decisions will depend on your preference and what you need
