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Methylcobalamin is the active form of Vitamin B12 and supports nerve cell repair, nerve regeneration, red blood cell formation, and myelin sheath maintenance
It is made for topical ear use and is intended to deliver vancomycin directly to the affected area
Elderly Patient Protocols Elderly patients face unique challenges with vitamin B12 injections
However, insulin elevation from food intake activates opposing lipogenic (fat-storing) pathways that can blunt the peptides fat-mobilizing effects
There is not as much evidence regarding long-term efficacy or safety of gel vitamin B12 compared to injections, but at this time it appears B12 gel works similarly to raise blood levels
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