I saw a couple (both in their 80’s) from Texas in the clinic; both healthy and get occasional Vit B12 shots. They’ve had borderline deficiency in past. Both had parents who “felt better and got a boost” after B12 shots. They feel the same after getting their prn B12 shots. I’m now in a clinic setting where I can’t give Vit B12 shots. Previous trial of oral Vit B12 didn’t seem to work as well. My solution was to revisit the history of Vit B12 administration (explaining why oral supplements work), emphasize that much of this work came out of the VA in Denver, reassurance that the vast majority of seniors respond well to oral replacement, and give it another try.
Vitamin B12 deficiency