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Key considerations for IV dosage include: The severity of the Vitamin B12 deficiency The presence of any underlying medical conditions that may affect B12 absorption The patients overall health status and response to initial treatment Clinical Scenarios for IV Administration IV Vitamin B12 is used for severe deficiencies or when other methods fail

1 Remove Epithalon vial from refrigeration and allow to reach room temperature (1520 minutes) 2 Clean vial top with alcohol swab and allow to air dry completely 3 Using a sterile syringe, draw the calculated volume of bacteriostatic water (BAC water) 4 Inject BAC water slowly down the side of the vial do not aim directly at the powder 5 Gently swirl in circular motions DO NOT shake vigorously as this degrades the peptide 6 Allow 23 minutes for full dissolution solution should be clear and colorless 7 Draw calculated dose into an insulin syringe for subcutaneous injection 8 Inject into abdomen, thigh, or upper arm

Code Ocean , (2019)

Final Thoughts Phentermine and B12 shots offer a dynamic duo to achieve weight loss goals

Biol Psychiatry 43:511519 Jelovac N, Sikiric P, Rucman R et al (1999) Pentadecapeptide BPC 157 attenuates disturbances induced by neuroleptics: the effect on catalepsy and gastric ulcers in mice and rats

At 4mg/week: 78 doses