doi:10.1517/14712598.2012.634793 Esposito S, Deventer K, Goeman J, Van der Eycken J, Van Eenoo P
At the end of your visit, you are provided with a visit summary, receipt and educational material about your diagnosis
A licensed provider reviews this information and will decline treatment if it isnt safe or appropriate for you
Multiple forms of the transcobalamin transport molecule exist the one that is important here is transcobalamin II, as it allows B12 to become biologically available
This is a topic that might be top-of-mind if you have SIBO (small intestinal bacterial overgrowth) and/or anything else that is depleting those essential B vitamins
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