A 12-week randomized controlled trial in vegans and vegetarians with marginal deficiency (Effect of two different sublingual dosages of vitamin B12 on cobalamin nutritional status, Del Bo and colleagues, Clinical Nutrition , 2018, 40 subjects) found that even a modest sublingual dose of about 50 mcg per day restored serum B12 and improved holotranscobalamin, methylmalonic acid, and homocysteine, which confirms that sublingual liquid B12 can correct a marginal deficiency in plant-based eaters
Eat low-fiber and non-spicy foods to reduce irritation to the digestive tract
We get her adjusted, and within 30 minutes, the headache is down significantly to something more manageable for her
Some patients follow a short-term protocol for targeted support, while others use it as part of an ongoing wellness routine
Slower dose escalation
If you experience side effects from any medication, report them to the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)