Does one have to increase potassium when taking B12?

If you are anemic, yes. But not everyone gets low potassium when starting B12. Most people do not get enough potassium daily anyway! I've known people whose teens and young adult children end up in the ER with low potassium! If a person uses diuretics alot, they can end up with low potassium, and magnesium as a side effect. There is one type of kidney tubular acidosis that wastes potassium over time. People with low magnesium often have a corresponding low potassium, as it seems they are connected somehow in the body.
There is also a genetic syndrome of low potassium:
http://en.wikipedia.org/wiki/Bartter_syndrome

Our red cells have a lot of potassium in them. So when red cell production suddenly increases, they will rob the body for potassium until that synthesis becomes more normal. Some people with low B12 have poor red cell production, but that would show up on a CBC testing panel. Other people do not show the anemia, until late in low B12 situations. So it is hard to say who will or will not see a sudden dip in potassium levels.

Noted that you mentioned (on empty stomach) chewing the MethylB12, followed with water first thing in the morning.
I frequently run into problem with both Methyl B12 and Stabilized R-Lipoic Acid on empty stomach.

The above gave me some thoughts on whether I would be able to combine my 6 a.m. (set alarm ..60mg's Oxycontin every 6 hrs.) Oxycontin and Synthroid.... with taking the R-Lipoic Acid, as well as the B12 at that time. I usually get out of bed around 8:00 a.m.
If doable; this then would eliminate the need to work around delaying eating or waiting during the day to take these two on empty stomach.

Would appreciate your thoughts about this.


Gerry

Sounds like you can take them all together on your empty stomach.

It is the presence of fiber that is problematic... microgram quantities can get lost and bind in fiberous food.

Sometimes I take the lipoic acid in the afternoon around 4pm, which is before dinnertime. The new solubilized form is quickly absorbed compared to the old ALA form. And it is not microgram in size either.

I called and was directed to the USP website which states:

Products that meet the program's stringent criteria are awarded the distinctive USP Verified Mark for use on labels, packaging, and promotional materials. The Mark makes it easy for customers, healthcare practitioners, and retailers to identify USP Verified products. Seeing the USP Verified Mark on a label indicates that the dietary supplement product inside:

Contains the ingredients listed on the label, in the declared potency and amounts.
Does not contain harmful levels of specified contaminants.
Will break down and release into the body within a specified amount of time.
Has been made according to FDA current Good Manufacturing Practices using sanitary and well-controlled procedures.

USP conducts a rigorous process of tests and reviews before awarding the USP Verified Mark to a dietary supplement that a manufacturer voluntarily submits for verification. The process includes the following steps:

Experienced USP scientists test supplement products to ensure that they meet USP standards for quality, purity, and potency. This includes testing dietary supplement products and their ingredients against dietary supplement standards found in The United States Pharmacopeia and The National Formulary (USP–NF).
USP conducts a thorough manufacturing and quality control/product document review.
USP performs an on-site manufacturing facility audit for compliance with USP standards and FDA current Good Manufacturing Practices (21 CFR Part 111).
After a product is verified, USP performs random, off-the-shelf testing to confirm that it continues to meet USP's strict standards.


Now with all that being said. I am confident that the Kirkland B12 Methyl is pure and potent.

http://www.usp.org/usp-verification-...ry-supplements

The above is the link for the info.

Do you have the link for that? I'd appreciate it if you posted it here. You can edit your post within 24 hrs. It would be best to put it in there if you can. Otherwise just make a new post with the link.

Thanks so much for doing that and helping here.