I would switch to a synthesized alternative tomorrow if we could figure out diet today.
But it's still regularly promoted that the best way to see to a full diet is a natural diet along with any necessary supplementation because [from my limited memory] we don't have a full grasp on the complex interactions/delivery of nutrients.
A predisposition to a B12 deficiency runs in my family. In other family members it's more severe than others (for instance a B12 shot has been not enough to bring my mother back from near physical collapse and has required emergency blood transfusions).
I've often thought I had a handle on it—take a daily oral or sublingual tablet of 5000mcg (usually urinate most of it out pretty quickly) and added more red meat to my diet (per my doctor) but still I've noticed advancing effects occasionally. One more physically apparent one is slowly advancing Vitiligo—I'd had some spots for years but notice a new or expanding one every so often. It's a [physically] harmless symptom, mind.
Worse are some of the others I experienced in my earlier years that persisted before I was diagnosed. I still have bouts where I thought I was looking after myself and those periods of sensation loss/global pins and needles, nausea. It can be frightening, and quality of life plummets. It's no joke.
So solve the diet thing and I'm on board. Until then, I think it's a bit of hubris. I'm sure there are other incremental improvements we can make until then, however.
But it's still regularly promoted that the best way to see to a full diet is a natural diet along with any necessary supplementation because [from my limited memory] we don't have a full grasp on the complex interactions/delivery of nutrients.
https://www.health.harvard.edu/staying-healthy/should-you-ge...
A predisposition to a B12 deficiency runs in my family. In other family members it's more severe than others (for instance a B12 shot has been not enough to bring my mother back from near physical collapse and has required emergency blood transfusions).
I've often thought I had a handle on it—take a daily oral or sublingual tablet of 5000mcg (usually urinate most of it out pretty quickly) and added more red meat to my diet (per my doctor) but still I've noticed advancing effects occasionally. One more physically apparent one is slowly advancing Vitiligo—I'd had some spots for years but notice a new or expanding one every so often. It's a [physically] harmless symptom, mind.
Worse are some of the others I experienced in my earlier years that persisted before I was diagnosed. I still have bouts where I thought I was looking after myself and those periods of sensation loss/global pins and needles, nausea. It can be frightening, and quality of life plummets. It's no joke.
https://en.wikipedia.org/wiki/Vitiligo
https://www.health.harvard.edu/blog/vitamin-b12-deficiency-c...
https://en.wikipedia.org/wiki/Vitamin_B12_deficiency
So solve the diet thing and I'm on board. Until then, I think it's a bit of hubris. I'm sure there are other incremental improvements we can make until then, however.