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
Most people who are interested in boosting their metabolism to kickstart their weight loss journey are good candidates for this treatment
Total gastrectomy always produces vitamin B12 deficiency
Regulation of triacylglycerol hydrolase expression by dietary fatty acids and peroxisomal proliferator-activated receptors
This can affect how well we absorb important nutrients
For users that are new to NAD+ Injections, or that prefer to administer a lower dose (max of 50 units weekly), we recommend ordering a 2.5mL vial, as used vials must be discarded after 28 days