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Intramuscular Whether given intramuscularly (IM) or subcutaneously (SQ), the goal of B12 injections is to bypass the digestive system when stomach absorption of B12 is impaired

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Wipe both rubber stoppers with alcohol pads and allow 30 seconds for evaporation

Taking cyanocobalamin if you have a methylation issue or MTHFR defect (3) in your genes can also cause issues as your body attempts to methylate the B12 before it can utilize it completely

Monitoring body composition objectively rather than relying only on scale weight or mirror assessment