Good luck.
According to the NIH Office of Dietary Supplements, functional B12 deficiency is most commonly seen in patients with one or more of the following: Age over 50 stomach acid production declines with age, and stomach acid is required to free B12 from food PPI or H2 blocker use reflux medications suppress the acid needed for B12 absorption Metformin use, which interferes with B12 absorption directly Vegan or vegetarian diets B12 is found almost exclusively in animal products Gut conditions including celiac, IBS, SIBO, and Crohns MTHFR mutations that affect how B12 is metabolized once absorbed Heavy alcohol use The symptoms of low B12 are easy to dismiss: fatigue, brain fog, low mood, tingling in the hands or feet, weakness, and shortness of breath on mild exertion
Morning administration is often recommended to establish routine and align with natural energy demands, but there is no definitive evidence that one time is superior for absorption
Vetozol 10% VITAMIN B12 treatment applies to the following species: Cattle, Horses, Pigs, Poultry, Goats, Sheep, Dogs, Cats Vetozal is a source of Vitamin B12 and phosphorus for the prevention or treatment of deficiencies of these nutrients in cattle, swine, horses, and poultry
Patients should be counseled to store the medication away from the freezer compartment and to be aware of areas in their refrigerator that may be prone to freezing
Cellular Energy Metabolism and Redox Biology