B12 Ankermann, 100 tablets

For use in vitamin B12 deficiency

Against tiredness and exhaustion caused by vitamin B12 deficiency

- Vitamin B12 deficiency, with blood formation disorders and anemia and/or disorders of the nervous system, such as damage to the spinal cord.
The drug is given primarily when the vitamin B12 deficiency cannot be remedied through nutrition.
A vitamin B12 deficiency can occur, for example, in the case of malnutrition or malnutrition (e.g. due to a strictly vegetarian diet), absorption disorders and inherited vitamin B12 transport disorders.

B12 Ankerman®

• unique effective dose: 1,000 micrograms*
• effective absorption in the body
• tested effectiveness and safety**
• only 1 tablet daily
• also suitable for people with disturbed nutrient absorption***
• gluten free

Strong effect on vitamin B12 deficiency
A vitamin B12 deficiency is widespread: around one in ten people in Germany is affected. ¹ The causes are varied: they range from insufficient intake through food and medication to gastrointestinal disorders and natural aging processes that make it difficult to absorb vitamin B12. T
he health consequences weigh heavily, because vitamin B12 is essential for many metabolic processes in the body. The symptoms of a vitamin B12 deficiency can manifest themselves in different ways, for example in the form of tiredness, reduced physical performance, difficulty concentrating, forgetfulness, mood swings or even irritability. ²

B12 Ankermann® - drug with a unique effective dose
In the case of a vitamin B12 deficiency, the motto is "a lot helps a lot", because only with a high vitamin B12 concentration in the intestine can a sufficiently high diffusion pressure arise, which the vitamin B12 naturally can migrate through the intestinal wall. In this way, enough vitamin B12 can be absorbed by the body - even if absorption is impaired due to certain diseases or medication, for example. With the help of high-dose preparations (at least 600 micrograms), enough vitamin B12 is absorbed to compensate for a deficiency. ³

dosage

Mandatory text:

B12 Ankermann®
active substance: cyanocobalamin 1000 µg.

Areas of application:
vitamin B12 deficiency, d. themselves in maturation i.e. red blood cells (disorders of hematopoiesis such as hyperchromic macrocytic megaloblastic anemia, pernicious anemia and other macrocytic anemias) and/or neurol. Sturgeon. such as funicular spinal disease (spinal cord damage).

For risks and side effects, read the leaflet and ask your doctor or pharmacist.
Wörwag Pharma GmbH & Co. KG, 71034 Boeblingen

Application recommendation:

• The specific dosage of B12 Ankermann® depends on the disease and the symptoms.
• Take 1 tablet per day whole on an empty stomach, preferably in the morning with some liquid
• suitable for long-term use (after consultation with your doctor)
• store at room temperature
• Keep out of reach of children!

Strong effect in vitamin B12 deficiency

A lack of vitamin B12 is widespread: around one in ten people in Germany is affected.¹ The causes are diverse: they range from insufficient intake through food and the use of medication to gastrointestinal disorders and natural aging processes make it difficult to absorb vitamin B12. The health consequences weigh heavily, because vitamin B12 is essential for many metabolic processes in the body. The symptoms of a vitamin B12 deficiency can manifest themselves in different ways, for example in the form of tiredness, reduced physical performance, difficulty concentrating, forgetfulness, mood swings or even irritability.²

If there is insufficient intake through food, dietary supplements can be a useful addition. However, if there is already a vitamin B12 deficiency, high-dose vitamin B12 in the form of medicinal products is required. They are available without a prescription. A decisive difference to a dietary supplement: only medicinal products have been extensively officially tested with regard to effectiveness, quality and safety and are suitable for compensating for a deficiency.

B12 Anchorman

• Balances the vitamin B12 deficiency and gives you back your energy
• unique effective dose: 1,000 micrograms*
• effective absorption in the body
• tested effectiveness and safety**
• only 1 tablet daily
• also suitable for people with disturbed nutrient absorption***
• gluten free

B12 Ankermann – drug with a unique effective dose

In the case of a vitamin B12 deficiency, the motto is "a lot helps a lot", because only with a high vitamin B12 concentration in the intestine can a sufficiently high diffusion pressure arise, which the vitamin B12 naturally absorbs allows the intestinal wall to migrate. In this way, enough vitamin B12 can be absorbed by the body - even if absorption is impaired due to certain diseases or medication, for example. With the help of high-dose preparations (at least 600 micrograms), so much vitamin B12 is absorbed that a deficiency can be compensated.³ If you have a
vitamin B12 deficiency, rely on the high-dose tablets from B12 Ankermann. One tablet a day can be enough to compensate for the deficiency.³
The drug is well tolerated and can be taken over a longer period of time if necessary. Thanks to its dosage of 1,000 micrograms, the body is sufficiently supplied with vitamin B12, even with impaired absorption.

Application :

• The specific dosage of B12 Ankermann® depends on the disease and the symptoms.
• Take 1 tablet per day whole on an empty stomach, preferably in the morning with some liquid
• suitable for long-term use (after consultation with your doctor)
• store at room temperature
• Keep out of reach of children!

THESE GROUPS OF PERSONS HAVE AN INCREASED RISK OF DEVELOPING VITAMIN B12 DEFICIENCY:

VEGETARIANS AND VEGANS
Valuable vitamin B12 is found almost exclusively in animal foods. This is why vegetarians, vegans and people who eat little meat often do not get enough vitamin B12 through food.

DIABETICS AND PEOPLE THAT PERMANENTLY TAKE MEDICATIONS
Medications such as metformin for diabetes or stomach acid-reducing drugs (e.g. omeprazole or pantoprazole) can cause vitamin B12 deficiency because they impair the absorption of vitamin B12.

PEOPLE WITH GASTROINTESTINAL DISEASES AND ABSORPTION DISORDERS
If the stomach and intestines are disturbed, many vital substances can only be absorbed with difficulty. The causes include inflammation of the gastric mucosa and chronic intestinal inflammation.

SENIORS
Older people in particular often have to struggle with a vitamin B12 deficiency because the body's ability to absorb it decreases with age.


* The only high-dose drug with 1,000 µg vitamin B12 per tablet.
** In contrast to dietary supplements, medicinal products are extensively tested by the authorities.
*** Andrés et al. 2018
¹ Herrmann W, Obeid R, Schorr H, Geisel J. Functional vitamin B12 deficiency and determination of holotranscobalamin in populations at risk. Clin Chem Lab Med. 2003 Nov; 41(11):1478-88.
² Hunt et al. BMJ 2014 Sep 4; 349: g5226.
³ Eussen et al. Arch Intern Med 2005 May 23; 165(10): 1167-1172; highest effect (best oral deficiency compensation above dosages of 647 μg vitamin B12.

* A vitamin B12 deficiency often leads to a folic acid deficiency at the same time. Both vitamins fulfill important functions and are essential for maintaining good health. Therefore, make sure you have an adequate supply of folic acid, for example with the Hevert folic acid tablets.

The total dose should not be exceeded without consulting a doctor or pharmacist.

Type of application?
Take the medicine with liquid (e.g. 1 glass of water).

Duration of use?
The duration of use depends on the type of symptoms and/or the course of the disease. It should therefore be determined in consultation with your doctor.

overdose?
No overdose symptoms are known to date. If in doubt, consult your doctor.

In general, pay attention to a conscientious dosage, especially for infants, small children and the elderly. If in doubt, ask your doctor or pharmacist about any effects or precautions.

A dosage prescribed by the doctor may deviate from the information on the package leaflet. Therefore, since the doctor adjusts them individually, you should use the medicine according to his instructions.

What speaks against an application?

- Hypersensitivity to the ingredients

What about pregnancy and lactation?
- Pregnancy: According to current knowledge, the medicine has no harmful effects on the development of your child or the birth.
- Breast-feeding: According to current knowledge, there are no indications that the drug should not be used during breast-feeding.

If you have been prescribed the drug despite a contraindication, talk to your doctor or pharmacist. The therapeutic benefit can be higher than the risk that the use entails in the event of a contraindication.

What adverse effects may occur?

Only side effects that have only occurred in exceptional cases so far are described for the drug.

If you notice any discomfort or changes during treatment, contact your doctor or pharmacist.

For the information at this point, side effects are primarily taken into account that occur in at least one in 1,000 patients treated.

Storage

The medicinal product must be stored away from heat.

What should you consider?
- Blood counts must be monitored throughout treatment and, if necessary, after treatment has ended.
- Be careful if you are allergic to binding agents (e.g. carboxymethyl cellulose with the E number E 466)!
- Beware of intolerance to lactose. If you have to follow a diabetic diet, you should consider the sugar content.
- Beware of intolerance to sucrose. If you have to follow a diabetic diet, you should consider the sugar content.
- Solubilizers (eg poly(oxyethylene) castor oils) may cause stomach upset and diarrhea.
- There may be medicines with which interactions occur. You should therefore generally tell your doctor or pharmacist about any other medicine you are already using before starting treatment with a new medicine. This also applies to medicines that you buy yourself, use only occasionally or have been using for some time.

How does the ingredient of the medicine work?

The active ingredient is a precursor of vitamin B12 and is converted to it in the body. Vitamin B12 is involved in blood formation in the body, among other things.

What is included in medicines?
 

Manufacturer: Woerwag Pharma GmbH & Co. KG