To reduce the risk of infection, wash your hands thoroughly with soap and water
Low NAD+ levels may cause aging, cancer, metabolic disease, sarcopenia, and frailty
Our providers build a personalized, provider-led plan around your labs, goals, and health history, then guide you through it safely

A physician investigating unexplained hypercobalaminemia will typically order some combination of the following: Complete blood count (CBC) with differential to check for abnormal red blood cell, white blood cell, or platelet counts Liver function tests (ALT, AST, ALP, bilirubin, albumin) to assess liver health Kidney function tests (creatinine, BUN, estimated GFR) to evaluate renal clearance Peripheral blood smear if a myeloproliferative disorder is suspected Abdominal imaging (ultrasound or CT) if liver or abdominal pathology is a concern Cancer-specific markers or screenings if clinical suspicion warrants them The NIH Office of Dietary Supplements fact sheet notes that observational data from a Danish registry analysis of 757,185 people found the adjusted 1-year cancer risk was 1.74 to 4.72 times higher among those with B12 above 813 pg/mL compared to those in the normal range of 203 to 813 pg/mL

Here's what you need to know: Key Facts About Injectable B12: Used to treat vitamin B12 deficiency when oral supplements aren't effective Administered intramuscularly (into the muscle) by healthcare providers Contains synthetic vitamin B12 (cyanocobalamin or methylcobalamin) Provides rapid absorption for those with malabsorption issues Requires prescription and medical supervision Not recommended for general energy or weight loss in healthy individuals If you've been experiencing unexplained fatigue, memory issues, or tingling in your hands and feet, you might be dealing with a B12 deficiency
The Procedure: Use the alcohol swabs to clean the site of the injection