The most chemically complex of all the vitamins, methylcobalamin is a water-soluble, organometallic compound with a trivalent cobalt ion bound inside a corrin ring which, although similar to the porphyrin ring found in heme, chlorophyll, and cytochrome, has two of the pyrrole rings directly bonded
Chronic inflammation, metabolic stress, and certain lifestyle choices only further contribute to the decline
The body cant make B12, so it must be taken in through food or supplements
They are characterized by quick, brief movements under the skin
This makes intramuscular shots the better option for patients who need quick results or to treat severe deficiencies
The LCD requires a specific anemia code and a documented hemoglobin below 10 g/dL