This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur
These are also a great source of protein and other micronutrients, like B12, that arent readily available from plant foods
It provides an energy boost and is commonly used to treat fatigue
B12 shots are typically administered in the upper outer quadrant of the gluteal muscle (the gluteus medius)
Bone marrow biopsy
Registered dietician Christa Beigler, who is an HTMA expert, recommends Epsom salt baths for magnesium, cod liver oil for the retinol form of vitamin A, and chlorophyll for bioavailable copper
