b12 injections for pernicious anaemia Oral vs. Intramuscular Vitamin in Vitamin B12 Deficiency • The Blood Project Here We Go Again! |

They address NAD+ depletion from opposite sides

Sun et al., 2019)

TIER 0 (20mg total) $219 total for 10 week supply Monthly cost breakdown: $110 Recommended if using low (or micro) doses of 2mg/week or less TIER 1 (40mg total) $249 total for 8-10 week supply Monthly cost breakdown: $99-$125 based on weekly dose Recommended if new to treatment or for those on 2-5mg/week TIER 2 (60mg total) $289 total for 8-10 week supply Monthly cost breakdown: $115-$145 based on weekly dose Recommended for those on 6-7mg/week TIER 3 (80mg total) $319 total for 8-10 week supply Monthly cost breakdown: $127-$160 based on weekly dose Recommended for those on 8-10mg/week TIER 4 (120mg total) $349 total for 8-10 week supply Monthly cost breakdown: $139-$175 based on weekly dose Recommended for those on 11mg/week and up MONTHLY PLANS Monthly Starter Dose $155 total for one month supply Recommended if new to treatment or for those on doses of 2.5mg/week or less Monthly Mid Dose $179 total for one month supply Recommended for doses up to 7.5mg/week Monthly Advanced Dose $195 total for one month supply Recommended for doses of 7.5-10mg/week Monthly Advanced Plus Dose $209 total for one month supply Recommended for doses of 11mg/week and up Apothecary Pharma (via New Life Rx) - Tirzepatide Injection Up to 180 days BUD

Most people do well with weekly or monthly injections, depending on their levels and symptoms

A 2025 meta-analysis of 16 studies involving 6,098 participants found no statistically significant difference between intramuscular, oral, and sublingual B12 supplementation routes

Inject the BAC water against the inside wall of the vial do not aim the stream directly at the lyophilized cake