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Composition Vitamin B12 (Cyanocobalamin or Methylcobalamin, depending on formulation) Lipotropic agents (varies by compounder, but commonly includes): Methionine Inositol Choline Benefits Supports fat metabolism and liver detoxification Enhances energy and focus Promotes red blood cell production May support weight management programs Format 10 ml vial Concentration varies by compounding pharmacy, but typically contains: Vitamin B12: 1000 mcg/ml Methionine, Inositol, Choline (varied doses, often 2550 mg/ml each) Dosage & Administration 1 ml per injection Administered intramuscularly (IM) Frequency: 23 times per week (as tolerated and per provider guidance) Storage Store refrigerated at 28 C Protect from light Do not freeze Notes Best used as part of a comprehensive wellness or weight management program (diet, exercise, lifestyle)
The treatment plan usually starts with an intensive course before settling into a routine
Studies also suggest that it may eventually be developed into an orally available and safe therapeutic agent for obesity, making it a convenient option for patients [2]
Consider B 12 supplementation without testing in asymptomatic patients with risk factors for B 12 deficiency (see Table 1: Patient Risk Factors Associated with B 12 Deficiency)
