Condition + Location

B12 Deficiency / Pernicious Anemia Treatment in Dover

5 holistic practitioners in Dover who can help with B12 Deficiency / Pernicious Anemia. Gabriel's evidence-based protocols, matched to local practitioners.

5 Practitioners

1 Treatments

6+ Supplements

Gabriel's Approach to B12 Deficiency / Pernicious Anemia

Gabriel tests for root cause of B12 deficiency: pernicious anemia (intrinsic factor antibodies, parietal cell antibodies), gut malabsorption, dietary insufficiency, medication-induced. He uses methylcobalamin (active form) or hydroxocobalamin, bypasses absorption issues with sublingual, nasal spray,...

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Recommended Treatments

IV Nutrient Therapy

Key Supplements

Methylcobalamin B12 1000-5000mcg sublingual daily (or injections 1000mcg weekly initially)
Folate (methylfolate) 1-5mg (works with B12)
B-Complex (all B vitamins work together)
Digestive enzymes with HCl and pepsin (if low stomach acid)
Betaine HCl (if low stomach acid)
Probiotics (gut health)

Key Lab Markers

Vitamin B12 (optimal >600, not just >200)
Methylmalonic acid (MMA - elevated if functional B12 deficiency even with 'normal' serum B12)
Homocysteine (elevated if B12 or folate deficient)
Complete blood count (macrocytic anemia)

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