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R.GrozioA.KubotaS.SasakiY.et al (2016)
Cochrane Database Syst Rev 2018
Strenuous exercise can increase blood flow to the area and might exacerbate any tenderness or swelling at the injection site
often continued for several weeks Should be administered by a healthcare professional Side Effects Pain or redness at the injection site Mild nausea, dizziness, or headache Rare allergic reactions (rash, itching, swelling) Hypokalemia in cases of rapid anemia correction Contraindications Known hypersensitivity to Methylcobalamin or cobalt Lebers disease (hereditary optic neuropathy) Caution in patients with renal dysfunction or folate deficiency Availability Methylcobalamin 500 mcg injection Vitamin B12 injection for nerve health Injectable B12 for anemia Methylcobalamin IM 1ml dose Nerve vitamin injection Vitamin B12 deficiency treatment

TIER 1 (10mg total) $219 total for 10 week supply Monthly cost breakdown: $88 Recommended if new to treatment or for those on 0.2-1mg/week TIER 2 (15mg total) $229 total for 10 week supply Monthly cost breakdown: $92 Recommended for those on 1.1-1.5mg/week TIER 3 (20mg total) $249 total for 9-10 week supply Monthly cost breakdown: $90-$100 based on weekly dose Recommended for those on 1.6mg/week and up TIER 4* (30mg total) $365 total for 8-10 week supply For patients approved to be on high dose therapy of 3-4mg per week Monthly cost breakdown: $146-$182 based on weekly dose TIER 5* (45mg total) $465 total for 8-10 week supply For patients approved to be on high dose therapy of 4-5mg per week Monthly cost breakdown: $186-$232 based on weekly dose Vios Pharmacy - Semaglutide/Levocarnitine Injection (NEW) Up to 90 days BUD