Why B12 injection vs sublingual or tablet?

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redspot321
Regular Member


Date Joined Jan 2006
Total Posts : 303
   Posted 1/21/2008 6:51 PM (GMT -7)   
I just was tested and found out I have a b12 deficency.
 
I picked up some tablets and sublingual tabs at walgreens.
 
I see people here are getting injections, whats the difference?
 
How long after the b12 supplement did you start to feel better?

Lady G
Regular Member


Date Joined Sep 2006
Total Posts : 321
   Posted 1/21/2008 7:09 PM (GMT -7)   
with crohns our bodies don't 'digest' and break down the pills proper so injections are needed. The pills likely don't spend enough time in a crohns persons body to make it into the blood stream and work proper or give us what we need through the proper breakdown ...actually in healthy people alot of those pills don't break down and work proper either.
Thats why we all get injections, its a guarantee that our bodies are taking in what we need and getting the nutrient.

At first I never noticed a difference but I didn't know what to look for, now after years I finally picked up on my bodies reaction to it and notice right away when I get my shot and start to feel better. I guess it could be dependant on the person like a lot of things crohns.
26 year old, married. Diagnosed with Crohns at 17, suspected of having for at least a year or so before that.  Alot of Crohns in my family history.  No surgeries yet. Taking Entocort.  Possible Fistula.


redspot321
Regular Member


Date Joined Jan 2006
Total Posts : 303
   Posted 1/21/2008 7:37 PM (GMT -7)   
how about sublingual? Where is that absorbed?

Dixie
Regular Member


Date Joined Apr 2004
Total Posts : 407
   Posted 1/21/2008 8:43 PM (GMT -7)   
from under the tongue - those large blue viens, right into the blood stream, sublingual is better then pills for absorption but may not be enough. B12's are absorbed close to the ilem, so if you have problem around that area you may not absorb very well, scar tissue and damage. that's my problem, I did the sublingual but couldn't get enough that way even tho I was doing 2x dose 2x aday........ I give myself the shots monthly
     Dixie  
 May God Bless and keep you in his care.


Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 1/21/2008 10:40 PM (GMT -7)   
Some people will gain benefit from sublingual tabs, others have to do injections. It basically is a matter of what part of the small bowel is impacted [and to what extent] by the Crohn's. I take very high dosage B12 sublingual lozenges [1000 mcg] that I get at Super Supplements. These are methylcobalamin as opposed to cynacobalamin. B 12 in foods is in the form of cynacobalamin which the body must convert to methylcobalamin to utilize. The supplements I use are methylcobalamin so the body can absorb it - ready to use. Also, I take a PPI for GERD and gastritis caused by CD. PPIs can effect the absorption of B12 supplements so that is why I take the high dose that I do. My GI and neurologist both agree that this is what I need to do. In addition, I take folic acid supplements because B12 deficiency can go hand-in-hand with folic acid deficiency.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/21/2008 10:46 PM (GMT -7)   
There are other choices too, in my case my GP started me with injections then had me take pills (1200mcg) and weaned me off the injections, checks my B12 every year and I'm still doing great with the 1200mcg pills and it's been 5 yrs now...I also didn't have CD affecting my ileum at the time (or to date) but my B12 was still low and that's why he started me on shots and weaned me on to tablets which worked out fine for me.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 1/21/2008 11:45 PM (GMT -7)   
I am on monthly shots given by neighbor who is an rn. He gives me the shot in the top of my thigh. He says its best to give there because there is more muscle there. They do not hurt at all either in the leg...Susie


teddybearweiser
Veteran Member


Date Joined Oct 2004
Total Posts : 3042
   Posted 1/22/2008 3:04 AM (GMT -7)   
Hi I do the B-12 injection. Its the best for us crohnnies to do.
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital
in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.
 My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
My Internest doctor has me on Lisnopril-HTCZ and Folic Acid. Diagnosed
with Osteoarthritis July 2007
 


mama2jmt
Regular Member


Date Joined Mar 2007
Total Posts : 301
   Posted 1/22/2008 6:47 AM (GMT -7)   
Hi red,
I use the sublingual dots,4000mcg. per day.I also had a b12 deficiency & was lucky enough to turn that around w/the sublinguals.My GP suggested that I try the sublinguals first,because I was very hesitant about doing the injections myself.I'm not so much scared of self injecting as I am having the needles at home...I have a 4 yr old.

good luck & take care!
~Jennifer~
Official Crohns DX-march 2004.Pentasa 4000mg,B12,Probiotics
         1 resection
Cardiomyopathy DX-may 2004.Coreg,Altace,Digitek,Lasix,Potassium,very low-sodium diet
          


EMom
Veteran Member


Date Joined Aug 2007
Total Posts : 990
   Posted 1/22/2008 7:02 AM (GMT -7)   
Do ALL folks w/CD need to take B-12 in some form or another? How does one know if they need it?
EMom
Mother to 15 year old boy diagnosed in June, 2007.
Currently taking Asacol, omega 3s, digestive enzymes, probiotics, iron, vit. C, calcium w/D3 and a good multivitamin.
Started The Maker's Diet in early September.


mama2jmt
Regular Member


Date Joined Mar 2007
Total Posts : 301
   Posted 1/22/2008 7:27 AM (GMT -7)   
EMom....
you should definitely ask your sons doc to check his levels.B12 deficiency can lead to other serious problems,especially anemia.

good luck & take care!
~Jennifer~
Official Crohns DX-march 2004.Pentasa 4000mg,B12,Probiotics
         1 resection
Cardiomyopathy DX-may 2004.Coreg,Altace,Digitek,Lasix,Potassium,very low-sodium diet
          

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