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
If you are alone, the outer- anterior thigh is likely the easiest way to administer the injection but may cause more discomfort than the upper buttocks
Work with a licensed healthcare provider for proper medical oversight
It's not that they are not trying hard enough, or trying in the right direction
Vitamin B12 helps make red blood cells, supports nerve function, and aids in DNA creation