vitamin b12 injection sq or im Compounded Hydroxocobalamin (Vitamin B12) Vitamin B12 Injection Sites: All

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[3] Hyperpigmentation in B12 deficiency occurs as a result of (1) decreased levels of reduced glutathione which activates tyrosinase and results in increased melanin synthesis, (2) defect in transfer of melanin from melanocytes to keratinocytes resulting in pigment incontinence, (3) increased biopterin in B12 deficiency increases hydroxylated phenylalanine which results in hyperpigmentation

Taking non-sedating antihistamines (such as Claritin) is a good place to start

To enhance diagnostic accuracy, clinicians often include testing for anti-parietal cell autoantibodies

I recommend starting AOD-9604 at the lower end (0.25 mg) for the first two weeks even if you are already experienced with peptides