Vitamin B12 shots at our functional medicine center are especially effective since we use the naturally occurring form of B12 called methylcobalamin
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If the patient is suspected to be sensitive to cobalt or other components of cobalamin, an intradermal test dose is recommended (10, 13)
Where neurological symptoms are present, loading runs 1mg on alternate days until there is no further improvement, which is a presentation that belongs with a GP or specialist rather than a wellness clinic
Therefore, in patients with significantly impaired renal function or in infants, the therapy should be used only if clearly indicated and with careful monitoring