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Recognising a B12 Deficiency (and Why Self-Diagnosis is Risky) Given that a B12 shot only helps fatigue if youre deficient, how do you know if you are

As clinicians (even non-prescribing clinicians), I think we need: - Curiosity - An understanding of how it might impact our rehab program design Better evidence, not anecdotes (the studies are mostly animal based) Conversations, not blank stares Because whether we like it or not, this isnt fringe anymore

Case series suggest potential benefit of the 5-HT 3 antagonists granisetron or ondansetron for symptoms of nausea and vomiting in gastroparesis, but formal studies are lacking (120, 121)

Taking psyllium on top of standard medical treatment may help improve symptoms of laryngopharyngeal reflux, a type of acid reflux that affects the throat, according to a recent study

Lets explore these treatments in more detail

There are different forms of B12, but methylcobalamin and cyanocobalamin are the ones most commonly found in supplements