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In the UK, hydroxocobalamin is the standard form used for intramuscular injections on the NHS

Every vitamin B12 shot at our La Grange clinic is given as an intramuscular injection into the deltoid (upper arm) by a licensed clinician under nurse-practitioner supervision

The FDA has issued multiple warnings about these products because of: Unknown quality Incorrect or impure ingredient (salt forms) Lack of sterility Incorrect dosing Risk of contamination Therefore, only use FDA-approved peptides or get your medication from a certified healthcare provider or a 503a compounding pharmacy

Requires sterile technique and a clean reconstitution process

A 54-year-old patient with pernicious anemia experienced anaphylactic shock twenty minutes after his sixth hydroxocobalamin shot