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When oral supplements or alternatives like vitamin B12 patches or vitamin B12 IV infusion arent effective or appropriate, B12 injections become the gold standard for repletion

Remember, it is possible for the B12 to leak out of the site if the needle is to short and the injection site is too shallow

Generally speaking, a ratio of 1:1 or 1:2 is best for most peptides, meaning that equal amounts of sterile water and bacteriostatic water should be used

Rinse your mouth with water after each use to reduce the risk of oral thrush

This involves a thorough clinical evaluation, lab tests, and the patients medical history