1

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B-12, Sublingual pill or sublingual liquid?

Answered on August 19, 2014
Created May 19, 2013 at 2:28 PM

I was very deficient in b12. I know the sublingual liquid does great things for me. However I am beginning to question the efficacy of sublignual pills. I have a hunch that when I swallow the saliva immediately I am not absorbing the b12. Anyone have any similar experiences? Also, does anyone have a preferred sublingual methyl form that they use?

96440612cf0fcf366bf5ad8f776fca84

(19463)

on May 20, 2013
at 11:00 AM

Moonblaze: The original poster did not mention that they were damaged and could not get enough B12, only that they questioned which was more effective: sublingual vs liquid, to which the answer is to get it from food instead. Why do you assume that they are so damaged that they can't get B12 from food?

Medium avatar

(3213)

on May 20, 2013
at 01:25 AM

But is that Mark's case?

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on May 20, 2013
at 01:01 AM

this is not true in the case of b12 deficiency. once you've gotten low enough, you permanently stop producing intrinsic factor of B12, and thus cannot absorb it through the gut.

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on May 20, 2013
at 12:59 AM

Once you've had enough damage from b12 deficiency, it can become virtually impossible to absorb via the gut. In those cases supplementation is greatly preferable to pernicious anemia.

7841848bd0c27c64353c583fb7971242

(7275)

on May 19, 2013
at 10:07 PM

If someone's seriously deficient, it's more of a medical issue and food won't cut it. I was eating paleo with regular liver and oysters for a year and didn't get better until I went on a specific b-vitamin protocol.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on May 19, 2013
at 08:46 PM

Didn't notice til now than you've asked 3 extremely interrelated questions. Maybe stick to 1 thread and flesh your story out. It seems though it's all too specific to you, not a paleo question in general.

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8 Answers

2
32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on May 19, 2013
at 06:52 PM

What form of B12 are you supplementing with? If you've got issues, methyl-B12 is considered the superior form. Cyano-B12 is cheap, which is why all cheap vitamins use it.

Better yet, stick to real food. The bioavailability is best with real foods.

7841848bd0c27c64353c583fb7971242

(7275)

on May 19, 2013
at 10:07 PM

If someone's seriously deficient, it's more of a medical issue and food won't cut it. I was eating paleo with regular liver and oysters for a year and didn't get better until I went on a specific b-vitamin protocol.

2
C6032b723b12cf0073ec6d22c5f4e7ae

on May 19, 2013
at 05:25 PM

I use this sublingual liquid from a trusted professional brand: http://www.antyler.com/detail_short.aspx?id=49

Although whole foods are the best sources (as usual), sublinguals are also great because they absorb instantly. I actually feel stimulated the minute I take them. I use them because I'm extremely sick and therefore cannot rely on my guts to absorb anything properly.

1
7841848bd0c27c64353c583fb7971242

(7275)

on May 19, 2013
at 07:04 PM

A bunch of people with b12 deficiency on the phoenixrising CFS/ME forum have anecdata-ly figured this out. Enzymatic Therapy is considered the best brand. (Jarrow used to also good, but changed something in their process and people found it less efficacious.) The recommendation is to hold the lozenges between your gum and cheek for an hour (or however long you can go).

You could do the liquid methyl-b12, but it breaks down much more quickly, so it tends to lose efficacy quickly depending on how it's handled. I think the folks on that forum who use the liquid form (for injections) tend to get it from a special pharmacy. The general recommendation, for simplicity, is to use the sublingual (enzymatic therapy brand, or play around to find what works for you).

I don't remember seeing people comment on the ingestible liquid forms.

1
048dd52752c45129c1212bfffb37ca72

on May 19, 2013
at 03:43 PM

Assuming that you eat paleo you should be having a ton of dietary B12 that when properly absorbed should be enough, thus making any supplement probably unnecessary. If you are not absorbing it, then most likely you have some gut issues. Have you considered trying instead to focus on proper gut health? B12 absorption seems to be very dependant on having the proper gut flora to deal with it. So working in correcting the flora may be wiser than just keeping supplementing with oral B12 to workaround the problem.

See this link and this for more info

Also, creating an acidic environment in the stomach seems to help improve absorption, I've not tried as I'm not aware that I could have any problem with B12 but they say apple cider vinegar can help with this.

1
96440612cf0fcf366bf5ad8f776fca84

(19463)

on May 19, 2013
at 02:36 PM

The preferred source is food: clams, mussels, oysters, liver, grassfed meats (lab, beef, bison), etc. see: http://nutritiondata.self.com/foods-000116000000000000000-w.html and http://www.healthaliciousness.com/articles/foods-high-in-vitamin-B12.php for a simple example. Use your favorite search engines for more.

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on May 20, 2013
at 12:59 AM

Once you've had enough damage from b12 deficiency, it can become virtually impossible to absorb via the gut. In those cases supplementation is greatly preferable to pernicious anemia.

96440612cf0fcf366bf5ad8f776fca84

(19463)

on May 20, 2013
at 11:00 AM

Moonblaze: The original poster did not mention that they were damaged and could not get enough B12, only that they questioned which was more effective: sublingual vs liquid, to which the answer is to get it from food instead. Why do you assume that they are so damaged that they can't get B12 from food?

0
3ae50e78292d6d74a81addff4a2af78b

on May 23, 2014
at 07:47 AM

Thanks for posting this article. It is very informative. I am at the age of 43. I was feeling to be fatigued, little memory, chronic pain etc after having my gastric bypass surgery. When i was tested for low RBC i was found to be detected with anomia. Thus doctor referred me to take vitamin b 12 sublingual once in a day. I can feel the difference after having this. It is really effective.

0
Medium avatar

(3213)

on May 20, 2013
at 12:46 AM

Neither, eat liver, oysters, beef, eggs and fish. They are all extremely high in B12. Your body absorbs nutrients preferably from food rather than supplements.

Medium avatar

(3213)

on May 20, 2013
at 01:25 AM

But is that Mark's case?

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on May 20, 2013
at 01:01 AM

this is not true in the case of b12 deficiency. once you've gotten low enough, you permanently stop producing intrinsic factor of B12, and thus cannot absorb it through the gut.

0
1edb06ded9ccf098a4517ca4a7a34ebc

on May 19, 2013
at 02:37 PM

If you know it "does great things for you," then why are you "questioning the efficacy" based on a hunch that you're not absorbing it? If you weren't absorbing it then it wouldn't be doing great things...it would be doing nothing at all.

So, either you're not absorbing it (as your blood tests would indicate) and therefore it's NOT doing great things for you, or it is doing great things for you and you're absorbing it (but your blood tests would contradict this).

You can't be not absorbing something and having it do great things for you.

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