A member asked:

If you have autoimmune atrophic gastritis or pernicious anemia, can your b12 levels fluctuate between low and low-normal(like 201)? or if you have either of those diseases will your b12 always be low until you start b12 injections?

A doctor has provided 1 answer

Regardless of the cause of your low B-12 levels, you need to supplement to return to a normal serum range, to avoid neurological complications. The most efficient and rapid approach involves monthly injections.

Answered 5/9/2021

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