PMC 3136748
Reconstitute and handle in accordance with standard laboratory safety protocols
Vitamin B Complexes: B1, B2, and B6 vitamins can all be found in lipotropic injections
Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption [6] [8] Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency
It puts vitamin B12 straight into your blood, skipping the usual digestion steps
As a result, blood tests may show normal B12 levels, even though the body is not receiving the active form it needs