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Who should check with a provider first If you are pregnant, nursing, have kidney disease, or take medications that interact with B12 metabolism (such as metformin), discuss this with a provider before starting

We use methylcobalamin or hydroxocobalamin, both of which are bioavailable forms of B12 with proven efficacy

If you are in the Seattle area and want a medically supervised approach to B12 injections or broader wellness services, the team at La Belle Vie Cosmetic Surgery Clinic, led by board-certified surgeon Dr

Sun exposure can raise levels, too, but less reliably than supplements

That matters because, unlike most peptides, a small molecule can be studied orally as well as by injection it has no peptide bonds for digestive enzymes to cleave