Working with surgeons at the Shriner's Burn Center for Children, Dr
Selecting the Appropriate Formulation Choosing the right B12 formulation depends on several factors
Cyanocobalamin : Synthetic form, requires conversion to active B12, longer shelf life, lower cost Methylcobalamin : Bioactive form, immediate utilization, preferred for neurological symptoms, more expensive Hydroxocobalamin: Used for cyanide poisoning, longest-acting Standard dose: 1000mcg/ml Routes: Deep IM (gluteal/deltoid) or subQ (abdominal) Loading phase: Daily/weekly for 1-4 weeks Maintenance: Monthly or every 3 months (hydroxocobalamin) No need for aspiration before injection Oral absorption requires intrinsic factor (absent in pernicious anemia) and healthy ileum
What most people dont know is how much, how often, and what other components can be added to increase the effectiveness of the shots, and how B12 can help improve the results of medications such as GLP-1, GLP-1 / GIP, Phentermine and others
This stops anemia and lets our tissues get enough oxygen
