Stop the medication if you are experiencing these symptoms and consult with your healthcare provider before taking the next dose
Note: Adults under 130 lbs may benefit from using a 29G " or 25G 5/8" needle to achieve intramuscular delivery, based on injection site and medical advice
above 25C for more than 24 hours renders the vial unusable
Lipotropic injections are generally not recommended during pregnancy or breastfeeding, for people with a known allergy to any component of the formulation (including B12/cobalt), for those with certain kidney or liver conditions, or for those with certain medical conditions
Certain medications may also interfere with absorption and cause deficiency, in particular, medicines prescribed for heartburn, antibiotics, blood pressure medicine, cholesterol-lowering drugs, diabetes medications and antipsychotic drugs
Increased expression of insulin/insulin-like growth factor-1 hybrid receptors in skeletal muscle of noninsulin-dependent diabetes mellitus subjects