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Composition Vitamin B12 (Cyanocobalamin or Methylcobalamin, depending on formulation) Lipotropic agents (varies by compounder, but commonly includes): Methionine Inositol Choline Benefits Supports fat metabolism and liver detoxification Enhances energy and focus Promotes red blood cell production May support weight management programs Format 10 ml vial Concentration varies by compounding pharmacy, but typically contains: Vitamin B12: 1000 mcg/ml Methionine, Inositol, Choline (varied doses, often 2550 mg/ml each) Dosage & Administration 1 ml per injection Administered intramuscularly (IM) Frequency: 23 times per week (as tolerated and per provider guidance) Storage Store refrigerated at 28 C Protect from light Do not freeze Notes Best used as part of a comprehensive wellness or weight management program (diet, exercise, lifestyle)

Nelson sometimes avoids steroids because there is evidence that steroids impedes and prevents the healing that is necessary after shoulder surgery and rotator cuff repair surgery(1)

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B12 injections are considered very safe and often have no side effects