Saxena AR, Gorman DN, Esquejo RM, et al
Cause of Low B12 levels Pernicious anaemia vegan diet malabsorption syndromes coeliac sprue Crohn's ulcerative colitis (UC) "food-bound cobalamin malabsorption syndrome" predisposing factors include atrophic gastritis, long term proton pump inhibitor or H2 antagnoist use, chronic alcoholism, gastrectomy/gastric bypass surgery, pancreatic exocrine failure, AIDS myeloma (paraprotein related assay interference) pregnancy combined oral contraceptive pill/HRT pancreatric insufficiency metformin, acute phase situations
Carnitin 3000 is gluten-free and therefore suitable for coeliacs
COMMON FORMS OF VITAMIN B12 Cyanocobalamin synthetic, commonly used Methylcobalamin active form, preferred for neurological support Hydroxocobalamin longer-lasting injectable form Adenosylcobalamin mitochondrial active form MECHANISM OF ACTION Vitamin B12 acts as a cofactor in: Red blood cell formation DNA synthesis Myelin sheath maintenance Homocysteine metabolism Energy production within cells ADEQUATE B12 levels are essential for proper oxygen delivery and nervous system signaling
[1] [2] Patients should always follow the storage guidance provided with their medication to ensure its effectiveness throughout the treatment period
A single capsule provides 500 mg of ALCAR