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In the U.S., injectable B12 (cyanocobalamin and hydroxocobalamin) is only available with a prescription, as regulated by the FDA
A small amount of the drug is metabolized via the cytochrome P-450 pathway (to be specific, CYP3A4 and CYP2E1) into NAPQI, which is extremely toxic to liver tissue, as well as being a strong biochemical oxidizer
However, Dr Thom, Head Of Clinical Services at Forth, suggests that if your results show low vitamin D levels, a higher dose may be needed to rebalance your levels
A small amount of soreness is normal, but if you notice significant irritation, contact your healthcare provider