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Our board-certified physicians follow guidelines from leading medical organizations including ACOG and The Menopause Society and recommend treatments tailored to each patient.

The injury site should no longer be a weak link

When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed

My remedy is to add an ampule of lidocaine to the syringe after I draw up the B12

For patients with genetic variants affecting B12 metabolism or impaired liver function, methylcobalamin is preferable

Anaphylactic reactions may occur following administration of lidocaine hydrochloride (see ADVERSE REACTIONS)