GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord
State of the clinical research For both compounds, the published clinical research in humans is limited: BPC-157 has not received approval as a medicine in any major regulatory jurisdiction (UK MHRA, EU EMA, US FDA)
ICD-10 diagnosis code D64.9 stands for Anemia, unspecified
Without proper guidance from a medical professional, it is possible to ingest excessive amounts of B12 especially if you misread the label or mistake micrograms for milligrams, for instance
If menopause increases inflammation and gut permeability, could BPC-157 act as a protective ally
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