Aggressive treatment is needed for recovery.

Dear Healthcare providers and community members, 
***  Labs are very erroneous creating a large diagnosis gap and misunderstanding of this deficiency.
***  Virus and stress exacerbates this deficiency rapidly. Community members not handling the stress of the COVID19 pandemic as well as Long Haul (PASC) COVID community members are affected. 

***  B-12 deficiency affects nerves* gut* brain* tissue*.   Systemically— it presents differently for each person (some psych, some skin, some vision, etc.)

MD's -Aggressive treatment with B-12 and cofactors while monitoring fluid shifts would greatly benefit patients and our communities.

 

LABS to Run.

  • Serum homocysteine (hcys)

  • Methylmalonic acid (MMA)

  • Intrinsic Factor blocking antibody (ifab)

  • folate

  • ferritin

  • magnesium

  • potassium
     

***Monitor/*cofactor.

*potassium (high potassium diet)

*folate

*magnesium

*Biotin
*B2 (riboflavin) and B3 (niacin)

*Selenium
*B1 (thiamin)

*** A, C, D, E, iron, zinc, copper 
***Omega-3s
***Calcium


Consider.
*B12 - daily or EOD IM or SQ hydroxocobalamin with cofactors for a minimum of 90 days for any neuro symptom.  (see Albert Mir, MD new work on possible sublingual efficacy below)

THE STUDIES show….

Berlin groups estimates 50% of the western civilization is B-12 deficient. The NIH reflects this at 40%.

 research indicates - Patients with neuro symptoms will most likely develop more serious symptoms over 2-8 years if (active) B12 is not restored. This is not a can drink or a simple sublingual.
ANY Neuro sign like brain fog, fatigue, POTS, tinnitus, etc needs treatment. AUSTISM, DEMENTIA, MENTAL HEALTH disease and or mortality and morbidity will increase if this is left untreated.

 
 

  1. https://mcpiqojournal.org/article/S2542-4548(19)30033-5/fulltext    Mayo clinic- the faces of a cobalamin deficiency.

  2. https://onlinelibrary.wiley.com/doi/10.1002/acn3.51210       Covid‐19 can involve multiple organs including the nervous system. 

  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491933/    Vitamin B12 Enhances Nerve Repair and Improves Functional                                                                                                                             Recovery After Traumatic Brain Injury (TBI)

  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6930825/    B Vitamins in the nervous system

  5. https://pubmed.ncbi.nlm.nih.gov/8484483/     Vitamin B12 deficiency in patients with chronic-tinnitus and noise-induced hearing loss

  6. https://pubmed.ncbi.nlm.nih.gov/23473764/       (CAD) Folate and vitamin B12 are essential components in the metabolism of                                                                                          homocysteine (Hcy)

  7. https://www.mayoclinicproceedings.org/article/S0025-6196(19)30177-6/fulltext    Low Vitamin B12 and Parkinson Disease

  8. https://www.psychologytoday.com/us/blog/health-matters/201202/vitamin-b12    mental health implications- testing                                                                                                                                                              is erroneous.

  9. https://pubmed.ncbi.nlm.nih.gov/24852503/    Involuntary movements due to vitamin B12 deficiency

  10. https://pubmed.ncbi.nlm.nih.gov/24366986/   Postural orthostatic tachycardia syndrome (POTS) and vitamin B12 deficiency

  11. https://pubmed.ncbi.nlm.nih.gov/9310111/   Increased homocysteine - fibromyalgia and chronic fatigue syndrome

  12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033553/  Role of Micronutrients in Viral Infection Including SARS-CoV-2 Infection

  13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833875/    Micronutrients as immunomodulatory tools for COVID-19 management

Note- Labs will be erroneous with any B12 drinks or supplements in the last 4 months.

 *Serums may be normal even high with the patient in a functional deficit. Treat to symptoms. ANY neuro symptom is an indicator of a B-12 deficiency. Left untreated -it can manifest with more dire consequences in the body years from now.

If you are a health care professional, university, or researcher I have contacted- please read the studies and reach out to the CDC with case # CDC-1232781-B4W6H4 if you agree with this information.

My goal is to bring awareness to the entire healthcare system of this particularly important topic, asap.

This is important and critical information for each Covid 19 patient. (and or ~40-50% of the Western population)

 Most healthcare professionals will say nah.... it can't be B-12.... it's not.... it's way more complicated. Pernicious anemia groups have insight.

All my best,
Bean

Our Community needs to understand vitamin B-12 deficiency now,
COVID19 will not let us wait.

***NOTE-  labs can be very erroneous. your pt can still be in *functional deficit*.                 - treat to symptoms.

***NOTE- Fluid shifts can occur*** use monitor/cofactors

A sudden and swift shift in healthcare and our communities understanding of B-12 and it's cofactors
would benefit us all.

B12s involvement in nerve health and relative studies.