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Most people arent going to have this surgically removed, though you could

Vets use injections or oral cobalamin by case

While more human research is needed, current user feedback and practitioner insights suggest the following best practices: Standard Dosage Most users take 50100 mg per day , typically in divided doses (e.g., 2550 mg twice daily) to maintain stable blood levels

Alternative procedures that can assist in the diagnosis of malabsorption from classic pernicious anemia arising from an autoimmune disease or from long-term atrophy or atrophic gastritis, include a combination of anti-intrinsic factor antibodies, and gastrin and pepsinogen A and C in serum (Green et al., 2017)

Better yet, blood tests can pick up on drops in B12 early, allowing you to make necessary changes before you begin experiencing adverse physical effects