Other symptoms include mouth ulcers, issues with your vision, anxiety or mild depression
Less Common Side Effects Dizziness or fatigue: Some patients report lightheadedness or unusual tiredness after injection
For people with an MTHFR mutation, methylcobalamin (as opposed to other forms of B12) is therapeutic
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)

Some people on weight loss plans might get less B12 because they are eating fewer calories or certain foods, especially if they follow vegetarian or vegan diets
Common ingredients include methionine, inositol, choline, and sometimes B vitamins