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
Peptides function optimally as adjuncts to physical therapy, nutrition optimization, and other regenerative approaches rather than isolated interventions
Specials skills, training, and experience are required to determine which anti-aging treatment is indicated and to assess a patients suitability for specific procedures
Sophia M
However, this is a complex process and isnt exclusive to B12 deficiency neuropathy
For more on injection technique, see our Subcutaneous vs Intramuscular Injection guide
