The peptide is more stable in dry form -- it can tolerate temperature variations during transit that would degrade a liquid solution
Patients with vitamin B12 deficiency and concurrent renal or hepatic disease may require increased doses or more frequent administration of methylcobalamin
Reference: Michiels C et al
The shortage is affecting major pharmacy chains nationally
Still in the early stages my second order
United States), Arabic Gum, Citric Acid, Flavor], Milk Thistle Extract Powder(United States), -Cyclodextrin, Flavor(Natural Lemon Flavor), Other Processed Edible Fats and Oils, Tocopherol, Gardenia Yellow, Polysorbate 80, L-Cysteine Monohydrochloride, Skimmed Milk Powder, Hydroxypropylmethyl Cellulose, Glycerin, Citric Acid *Contains Milk Ingredients subject to change at manufacturer's discretion