There are biochemical reasons that suggest an intramuscular (IM) injection delivers hydroxocobalamin to the bloodstream more rapidly and potentially more effectively than the subcutaneous (SC) route
The other components are: sodium dihydrogen phosphate dihydrate, sodium chloride, water for injection purposes, sodium hydroxide for pH value setting
Still in the early stages my second order
The Financial Case for Injection Therapy For people with a confirmed deficiency, especially those with an absorption problem, injections can be a sensible choice compared to pills
If your levels are already normal, a shot mainly keeps you topped off rather than creating a big surge
Red or purple chromaturia is a side effect of hydroxocobalamin, typically resolving over several weeks.2 Additional causes of red urine include blood (e.g., traumatic catheterization, malignancy, infection), dietary ingestion (e.g., beets), and medications (e.g., rifampin, phenothiazines).3 Although benign and not warranting further evaluation by itself, hydroxocobalamin-induced discolouration of body fluids may interfere with colorimetric sensors
