It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of
Your goals, body composition, training history and full metabolic panel, including fasting glucose, HbA1c, fasting insulin, lipid panel, thyroid panel, IGF-1 and inflammatory markers, are reviewed before any prescription
Auton Neurosci 2002;97(1):4554
IGF-1LR3 IGF-1 LR3 is a synthetic analog of IGF-1, engineered with: Arginine substitution at position 3 (Arg3) Extended peptide sequence Benefits include: \Muscle Growth: Increases lean body mass via satellite cell proliferation and differentiation
