Product Purchase Includes Medication Medical provider consultation Syringes Alcohol Pads Program guide Administration video Administration and Frequency Available in Subcutaneous (SQ) and Intramuscular (IM) Injections Three times weekly As directed by your prescribing provider Contraindications Compounded Methylcobalamin injections should not be used in individuals who: Have a known hypersensitivity or allergy to cyanocobalamin, methylcobalamin, cobalt, or any component of the formulation Have Leber's disease (hereditary optic nerve atrophy) B12 administration may cause rapid optic atrophy in these patients Have polycythemia vera B12 may accelerate red blood cell production in ways that may be harmful in this condition Use during pregnancy or breastfeeding should occur only if a licensed healthcare provider determines that potential benefits outweigh potential risks

Several factors can affect results: Age and sex Pregnancy Fasting status Hydration Recent exercise Acute illness Supplements and other medications Anemia Kidney function Weight and body-composition changes Laboratory methodology An abnormal result does not always indicate disease, and a normal result does not always exclude a clinically important problem
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Neural Plasticity, 2013, 16
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