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If your vitamin B12 deficiency is caused by a condition or medication that affects absorption, or your levels are very low, your GP may prescribe a course of vitamin B12 injections

This is its central mechanism of action

Not surprisingly, when I do their Botox they often respond very well (and they usually tell me it was much different than what they received in the past), and almost always they mention that it was significantly less painful

PMC Article PMC6073405

If you have MTHFR mutations and previous poor response to cyanocobalamin supplements, you might prefer a formulation containing methylcobalamin instead

The diluent is Bacteriostatic Water for Injection, USP containing 0.9% Benzyl Alcohol added as an antimicrobial preservative