The average absorption rate of a oral supplement is only 45 % compared with 90% via an IM shot

Ingredients Maltodextrin, Bulking Agent: Microcrystalline Cellulose, Vitamin C (Ascorbic Acid [Hydroxypropylmethylcellulose & Tartaric Acid]), Magnesium Oxide, L-Carnitine Tartrate, Inositol (Carrier: Acacia Gum) Vitamin E (D-Alpha Tocopheryl Acid Succinate) (from Soya ), Maca Extract, Zinc Sulphate, Tablet Coating: (Hydroxypropylmethylcellulose, Glycerin, Colours [Iron Oxides]), Crosslinked Cellulose Gum, Pine Bark Extract, Anti-Caking Agents: Stearic Acid, Magnesium Stearate & Silicon Dioxide, Thiamin (Vitamin B1 as Mononitrate [Carrier: Hydroxypropylmethylcellulose]), Niacin (as Nicotinamide), Ferrous Fumarate, Citrus Bioflavonoids, Pantothenic Acid (as Calcium Salt), Vitamin B6 (Pyridoxine HCl), L-Arginine, Vitamin A (as Acetate [Carriers: Acacia, Starch, Maltodextrin, Antioxidants: DL-Alpha Tocopherol]), Vitamin D3 (Cholecalciferol [Carriers: Acacia, Sucrose, Corn Starch, Medium Chain Triglycerides, Antioxidant: DL-Alpha Tocopherol]), Siberian Ginseng Extract, Riboflavin, Octacosanol (Rice Bran), Copper Sulphate, L-Glutathione, Coenzyme Q10 (CoQ10), Manganese Sulphate, Lycopene Extract, Folic Acid (as Pteroylmonoglutamic Acid), Sodium Selenate, Chromium Trichloride, Biotin, Vitamin B12 (Cyanocobalamin)

A number of researchers have called for the replacement of cyanocobalamin in supplements with other, safer forms of vitamin B12 listed above
PMID 17961276
Typical case analysis Treatment of ketosis in dairy cows Fifty perinatal cows from a large-scale ranch were treated with Butaphosphate Injectin (15ml/head, qd 5d) in combination with Calcium Gluconate