Trying again to post this. Wondered if anyone knew any contraindication for using sublingual B12. I seem to recall a post somewhere that indicated that sometimes the sublingual form should not be used in cases of certain neuro diseases.
Anyone have any info on this?

If a person is hugely deficient and near death, a series of daily injections of cyano is required to prevent death. I see this in nursing homes frequently. By the time patients get to long term care they are very very ill...near death.

For those patients living a life...walking/talking breathing, etc, oral B12 (not necessarily sublingual) will do as well. Sublingual claims are not sterling. Most of what dissolves in your mouth is swallowed with your saliva.

Take at least 1000mcg (1mg) daily on an empty stomach, and you'll do as well as injectable. Studies have confirmed this.
If you are very low, you can do 5mg daily for a month or two...and decrease to 1mg daily after that. Don't assume you will be ever off it...it is most likely a lifetime thing. Whatever has caused your low readings is not going to change.

I do not know about a nuero problem, but if you have colitis, you might not be able to take the sublingual kind because it contains artificial sweeteners. If I can be of help, just let me know.

Best,

Silent

Thanks for trying. I appreciate the responses I have received. I guess I will just have to keep trying to find the info. I was able to learn a good bit by searching various sites, but not about a neuro contraindicaton for the sublingual form.
I guess I have learned that when I see something like that, I need to write it down.
Karen S.

One has to be careful on the net.
The only "negative" thing I can think of (and I did a Google search just now which showed nothing)
is the Pfeiffer research. People with methylation errors..
MAY have certain needs that differ from others.
Bipolar disorder for example is a methylation disorder it is thought.
http://www.alternativementalhealth.c...es/walshMP.htm
Check the section on "methylation". Not many doctors agree with the Pfeiffer institute, however.

B12 is part of a group of B vits that work together. Ignoring the others, results in less improvement. B6 and folate are both needed to help reduce homocysteine, and if those are low, then homocysteine continues to damage the blood vessels.

The risk of B12 deficiency is high in older patients. That is why guidelines suggest all persons over 50 take a supplement now.

When you find what you are looking for, please post it here.
I'd like to see it.

This is the typical warning to NOT use FOLATE in B12 deficient patients:
Perhaps this is what you read?
This quote is from http://lpi.oregonstate.edu/infocente...ns/vitaminB12/

I just recalled one thing I remember from a Mayo site
regarding the rare hereditary disorder called Leber's optic
neuropathy.

The Mayo site is not accurate on this subject. It was previously thought that B12 could not be used in these patients (who tend to all have low levels ) but newer information states that it is the CYANO form that should not be used. Recommended form for these patients is hydroxy or methyl.
I could not find any sites besides the Mayo one that says not to use B12. They ALL have B12 as treatments (except for the cyano version).

So if you find an older site or one that uses old information you might find Leber's listed as a condition to not use B12.

Hello Friends,

Ok, I am still a bit confused? I was diagnosed with vitamin B12 deficiency, and D as well as I posted before.

However I am questioning the B again.

1. Is the methyl B12 the same as the B12 you place under your tongue? That's interesting that the B12 that you take under your tongue has artificial sweeteners in it. I try to stay away from them for many reasons, one I get migraines and it is noted that they can trigger migraines.

2. Is there a vitamin B12 pill, that can give me just as much benefits as the shot of B12 that I can receive from my Dr.

3. If any, what are the benefits of Vitamin B12 shots.

4. Approximately How long does it take to see a noticeable difference after receiving vitamin treatments?

Thanks...

Patty

There are several types of methylcobalamin on iherb.com

Some with NO sweeteners of any kind.

You don't have to place the sublinguals under the tongue. You can swallow them. (in fact that is what happens anyway...you swallow your saliva eventually with the B12 in it).

The oral use is as good as the injectable. I have put up papers that have shown this to be accurate, in the past. Here are two examples:

from http://www.ncbi.nlm.nih.gov/pubmed/1...ubmed_RVDocSum

from http://www.ncbi.nlm.nih.gov/sites/en...&term=16585128

Why anyone today would choose invasive costly injections, over a simple oral method is beyond me. Those needles can inflame deeper tissues, and if misplaced can cause nerve damage!

Methyl injections are available, but have to be compounded at a higher cost.

Hello again,

Thank you so much for you excellent post filled with the information I was looking for. However I have to admit I had to read it a few times to truly let it sink in.

Your are absolutely correct in my opinion about the negative in receiving a shot of B12, verses the other options.

I plan to take the B- complex that I already have, not to be wasteful, then buy the oral B that have a higher mg.

Patty

Wow and thanks so much for going to the trouble to dig out that info!
One of my docs was pushing for the IM version and your info gives me more ammunition. I have read that the cerobrospinal fluid is the only truly accurate measurement of B12 in the system, but who wants to go there?
This was a very valuable posting.
Karen