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Practical takeaway: If youre drinking on a ski trip, at a mountain event, or during air travel, treat your hydration needs as higher than usual, and dont assume your normal tolerance applies unchanged

Injectable B12 is often preferred because it bypasses the digestive system and delivers the vitamin directly into the body

Record Keeping: Accurate documentation of treatments and patient information

These improvements are typically more pronounced when the injections are part of a comprehensive program including healthy nutrition and physical activity

Once prepared, aliquot and freeze at 20C

I have many patients who use both oral forms with B12 shots and injections