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Vitamin B12 There is four types of parenteral Vitamin B12 available: Cyanocobalamin 100 mcg/ml and 1000 mcg/ml best used as IM to prevent rapid loss via kidneys Hydroxycobalamin IM (compounded 1000 mcg/ml or more) known as long acting B12 (binds better to plasma proteins than cyanocobalamin) Methylcobalamin IV (compounded 1000 mcg or more up to 5000 mcg/ml) Adenosylcobalamin IV Common dose is 1000 mcg IM or IV Vitamin B12 as hydroxycobalamin is synthesized exclusively by microorganisms and is found in the liver of animals bound to protein as methylcobalamin = metabolically active form of Vitamin B12 Hydroxycobalamin is a chelator of cyanide and is used in cyanide poisoning Hydroxocobalamin is most generally used for vitamin B12 replacement therapy and is considered the drug of choice for vitamin B12 deficiency by the Martindale Extra Pharmacopoeia (Sweetman, 2002) and the World Health Organization (WHO) Model List of Essential Drugs

Reviewed By Blake Gilliam, CRNP Reading Time: 3 minutes We all wish there was a magic shot for instant energy and easy weight loss

Benefits of B12 Injections Clients come to us for B12 shots not just for energy, but for a range of health and wellness benefits, including: Instant Energy Boost Vitamin B12 supports the production of energy in cells, helping to reduce fatigue and increase stamina

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It is a short, focused protocol of 10 daily injections, with 4 months between cycles and a maximum of 3 cycles per year