doi: 10.1046/j.1365-2125.2003.01907.x Georges Delpre, Pinhas Stark, Yaron Niv, Sublingual therapy for cobalamin deficiency as an alternative to oral and parenteral cobalamin supplementation, The Lancet, Volume 354, Issue 9180, 28 August 1999, Pages 740-741, ISSN 0140-6736,
This contrasts sharply with full-length hGH which consistently elevates IGF-1
Other symptoms of B12 deficiency, such as numbness and tingling in the hands and feet, are also common in people with diabetes and spinal stenosis
With b12 deficiency there can be an enlargement of red blood cells called macrocytiosis
Patients appreciate thorough, transparent explanation of what to expect