Many patients come weekly or biweekly for sustained energy
Vitamin B12 is found exclusively in animal foods or foods fortified with this vitamin, such as: Meat and chicken: especially organ meat and red meat like beef Fish and seafood: especially clams, sardines, tuna, trout, and salmon Dairy: including milk, cheese, and yogurt Eggs: especially egg yolk Fortified foods: breakfast cereal, nutritional yeast, as well as some mock meats or plant milks Supplements, which are widely available in stores and online, are another way to meet your daily requirements
Proton pump inhibitors, like omeprazole, can also impair vitamin B12 absorption by reducing stomach acid production
People with autoimmune disorders (especially thyroid disorders such as Hashimotos thyroiditis and Graves disease) Type 1 diabetes, vitiligo, lupus, Addisons disease, ulcerative colitis, infertility, acquired agammaglobulinemia, or a family history of these disorders
An Integrative Medicine Approach to Rheumatology