While some yeast spreads, soy milks and soy-based meat-replacement products are fortified with B12, it is recommended that vegetarians and vegans take a supplement in order to maintain adequate levels
Certain medications, genetic factors, or underlying imbalances can change how your body uses B-vitamins
After the pharmaceutical development program concluded in 2007, the accumulated safety dataset was submitted in support of a US FDA Generally Recognized as Safe (GRAS) determination for AOD9604 as a dietary ingredient
The correct approach: Test serum B12, MMA, and homocysteine not just serum B12 Use the functional cutoff of 500 pg/mL for optimal status, not the labs lower limit of 200 pg/mL Identify the cause diet, malabsorption, medication, or autoimmune Match the supplementation protocol to the cause and severity Retest to confirm response, and continue monitoring if the underlying cause persists If youre over 50, vegan, taking metformin or PPIs, or experiencing unexplained fatigue, brain fog, or neuropathy get tested