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A single 30mL multi-dose vial can support multiple medication preparations or injections over time, making it particularly valuable for institutions and busy practices

Data were recorded for all patients older than 18 years of age who were prescribed VB12 during January 2014December 2017

According to the NIH Office of Dietary Supplements, functional B12 deficiency is most commonly seen in patients with one or more of the following: Age over 50 stomach acid production declines with age, and stomach acid is required to free B12 from food PPI or H2 blocker use reflux medications suppress the acid needed for B12 absorption Metformin use, which interferes with B12 absorption directly Vegan or vegetarian diets B12 is found almost exclusively in animal products Gut conditions including celiac, IBS, SIBO, and Crohns MTHFR mutations that affect how B12 is metabolized once absorbed Heavy alcohol use The symptoms of low B12 are easy to dismiss: fatigue, brain fog, low mood, tingling in the hands or feet, weakness, and shortness of breath on mild exertion

For reconstituting a 50mg vial, a 3mL or 5mL syringe is typically best for accurately measuring the larger volume of BAC water