Good dietary sources of B12 include: Meat, particularly beef, lamb, and offal such as liver Fish and shellfish, including salmon, sardines, tuna, and clams Dairy products such as milk, cheese, and yoghurt Eggs (particularly the yolk) Some fortified foods, including certain breakfast cereals, plant-based milks, and nutritional yeast always check the label , as not all products in these categories are fortified with B12, and the amount of B12 added varies between brands Following sleeve gastrectomy, several factors limit the practical contribution of diet to B12 status
Depending on the situation, evaluation may include discussion of labs, inflammation, metabolic health, hormone balance, sleep, nutrient status, physical therapy, medication effects, or referral when appropriate
Titrating with B12/MIC Patients typically start at a 1ml dose for 4 weeks
"Unfortunately, many of these products have not been thoroughly tested or reviewed by the Food and Drug Administration, so we don't have data from trials
Clin Chem Lab Med
Supports protection of neural tissues and helps aid neural regeneration
