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Hydroxocobalamin is one of the most common sources of B12 that medical professionals give through an injection

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The peptide bonds holding the molecule together can break under vigorous agitation

( 8 ) Alternatively, methylcobalamin may have a higher retention rate than cyanocobalamin and can be obtained through food sources such as fish, eggs, meat, and milk

This provides twelve or more unique injection zones and virtually eliminates the risk of overusing any single spot

For example, some patients get a B shot (methylcobalamin, cyanocobalamin or hydroxocobalamin) once a month in addition to weekly B-Complex shots