Condition + Location
B12 Deficiency / Pernicious Anemia Treatment in Roanoke
6 holistic practitioners in Roanoke who can help with B12 Deficiency / Pernicious Anemia. Gabriel's evidence-based protocols, matched to local practitioners.
6 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,...
Read full protocolRecommended 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)
Practitioners in Roanoke for B12 Deficiency / Pernicious Anemia
Sorted by treatment relevance and Practitioner Score
#1
80GPS
Appalachian Integrative Health
Dr. Zachary Hurt·Naturopathic Physician
0.0(0)
Roanoke, VA
integrative medicine
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(540) 685-2718#2
80GPS
Valley Integrative Medicine
Dr. Alicia Hollis·Board-certified Internal Medicine, Anti-Aging, Regenerative Medicine
0.0(0)
Roanoke, VA
integrative medicine
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(540) 555-1000#3
80GPS
Valley Functional Wellness
Nurse Practitioner·Nurse Practitioner
0.0(0)
Roanoke, VA
integrative medicine
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(540) 555-1100#4
80GPS
Appalachian Integrative Health
Dr. Zachary Hurt·Naturopathic Physician
5.0(0)
Roanoke, VA
naturopathic medicine
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(540) 685-2718