Treating pernicious anemia by diet alone, though, is likely not going to work due to the damage to the cells that make intrinsic factor
How Cleveland Care Clinic May Use This Option Patient Evaluation Full medical history, labs, comorbid conditions, contraindications screening Informed Consent & Shared Decision Discussion of pros, uncertainties, and monitoring plan Personalized Dosing Plan Titrating dose carefully to balance efficacy and tolerability Comprehensive Support Dietary, behavioral, activity coaching alongside injection therapy Regular Monitoring Tracking metabolic markers, side effects, weight, body composition Adjustment or Transition If compounded therapy is not ideal long-term, transition to FDA-approved alternatives when feasible Who Might Be a Candidate
For that group a hit of B12 can seem like a magical cure
Another branch forms (E)-ajoene and (Z)-ajoene isomers