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Before you decide to undertake self-injection, first consult a nurse practitioner or doctor to learn the proper method of identifying and cleaning the injection site, how-to properly open the ampoules and the administration of the contents

To treat them, you'll probably need shots of vitamin B12 at first, and then you may need to keep getting shots, or taking high doses of a supplement by mouth or nasally

A common laboratory approach is to add 1 mL of bac water to a 5mg vial, yielding a 5 mg/mL working concentration

This leads to a state known in functional medicine as "overmethylation," characterized by severe anxiety, panic attacks, insomnia, heart palpitations, and a "wired but tired" feeling

IM injections may help maintain adequate levels in these patients

Glaser K, Girschick HJ, Schropp C, Speer CP