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You should follow the specific instructions provided with your product, but fasting is not generally required for these formulations

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Because it is compounded rather than mass-manufactured, no two formulas are identical: strength and exact composition follow the prescriber's order and the dispensing pharmacy's process

Hydroxocobalamin is preferred because it has a longer half-life and is retained in the body more effectively than cyanocobalamin (which is mainly available as oral supplements in the UK)

It's prescribed for patients with confirmed vitamin B12 deficiency, especially those who cannot absorb B12 properly from food or oral supplements