Whether that combination makes sense for you is a clinical decision, not a one-size recommendation
Good to hear that yours are a bit better now, if not gone
Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of medicines best kept secret. 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (019%), but the majority of doctors still remain unaware of this treatment option (61%)
A deficiency in vitamin B12 can lead to various health problems, including anemia and neurological issues, making supplementation with Cyanocobalamin a critical treatment for many individuals
The trade-off is larger injection volumes at standard doses: a 2.5mg dose requires 75 units, and a 5mg dose requires 150 units (two syringe draws)
Mistake 2: Shaking the vial to dissolve Vigorous shaking creates shearing forces between liquid layers that can damage peptide bonds