Although pernicious anemia is uncommon in Asians including Korean ethnicity [23, 24], this disease is another cause of vitamin B 12 deficiency [12, 13]
Nonetheless, high B12 levels are absolutely harmless in these cases
The gap between correct dosing and dosing errors comes down to three calculations most guides gloss over: determining final concentration after reconstitution, converting that concentration to injection volume, and accounting for vial overfill that changes the actual amount of peptide present
For oral B12 supplementation with a supplement like Cobalequin, 250 micrograms must be given once daily and continued initially for 12 weeks
The B12 is added to reduce nausea, prevent B12 deficiency during long-term GLP-1 therapy, and support energy metabolism
For management of oral symptoms, topical antifungal therapies were administered to 9 patients with a history of gastrectomy