Disclaimer

It is important that you consult your treating physician with your symptoms and he or she has ruled out any other disease causing your symptoms.

• None of the advices on vitamin B12 and folic acid (folate, B11) supplementation are based double blinded scientific research but are based on extensive clinical observations of daily medical practice.
• All patients with symptoms that could be caused by a vitamin B12/B11 deficiency and those who are considering B12/B11 supplementation should realize that in the vast majority of cases it is a serious (or even severe) condition that preferably always request an examination/treatment from an expert (physician or therapist). Therapists trained in vitamin B12 can be found on the list of therapists.
• Because vitamin B12 deficiencies are unfortunately not always noticed by professionals or a vitamin B12 deficiency is not always treated correctly, and hundreds of thousands of people experience complaints that could be helped with B12/B11 supplementation, we promote a 'test treatment' that patients can start themselves.
• When starting a test treatment, we do advise you to always have a simple blood test first: determine both B12-serum and folic acid blood levels before starting with supplementation. This allows any physician / therapist consulted afterwards to have a baseline measurement of these values.
• The approach and the solution for the M. Addison-Biermer disease (vitamin B12 deficiency) is and remains a complex matter for which there is no simple blueprint. This means that the best solution for you personally must be sought. That is why we have different dosing schedules.
• We often see (sometimes serious) initial worsening of your symptoms. Although this is sometimes mistakenly seen as an undesirable side effect, we regard it as 'desired' effect. Because of the supplementation the recovery and detoxification processes starts up (which had been stagnated until then). These reactions can consist of physical but also psychological symptoms. In this case, we recommend to temporarily reduce or interrupt the supplementation dosage. The most sensitive patients should build up the dose slowly. If you experience any serious side effect, stop taking the supplements and contact your treating physician.
• We want to emphasize that B12/B11 supplementation often shows great results, but it is absolutely no panacea, no cure for all chronic complaints. Experiences of people vary widely: some have spectacular results, others achieve important progress but do not come to full recovery, others make small progress, but it does not turn out to be a major turnaround, and a few times someone is utterly disappointed. The latter actually only happens in cases where patients could not see a professional. And even a professional cannot help everyone.
• If the symptoms of a vitamin B12 deficiency have disappeared (this can take longer than a year, especially with neurological complaints), it is important to set a maintenance dosage. A vitamin B12 deficiency usually develops because the body cannot convert dietary vitamin B12 sufficiently into active vitamin B12. Keep in mind that you’ll need a maintenance dose of vitamin B12 in order to not gradually relapse.
  The maintenance dosage varies per person and depends on your body and health situation; it usually is a lower dose than your current intake, for example you can take your current daily dose every other day or even once a week. The maintenance dosage is the dosage that makes you feel well and makes sure your symptoms do not come back.

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