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)

Oral Supplementation Studies suggest that about 56% of an oral B12 supplement is absorbed, but this is largely dependent on the capacity of intrinsic factor (a glycoprotein released by the stomach that is needed for B12 absorption)
Waist-to-hip ratio: A measurement that helps determine if you are storing high levels of visceral fat
Liquids also typically are better tolerated and do not contribute to fullness like solid foods, adds Hamilton
I was nearly pre-diabetic with a family history of diabetes, heart failure, and kidney failure
Known as the Black Death, bubonic plague killed millions of people in Europe during a series of outbreaks during the Middle Ages