insulin injection causing b12 deficiency Vitamin in Pernicious Anemia: A Hemolytic Anemia Mimic Diagnosis, Treatment and Long-Term Management
Description
Adding AOD-9604, BPC 157, or CJC 1295 to a treatment plan gives clinicians something to offer beyond a dose increase

It is important for both patients and prescribers to be aware that the administration of Methylcobalamin should be done under medical supervision, especially considering the high concentration of this formulation

Johnston, K., DiRienzo, D

This does not mean it's safe to buy and use

Vitamin B12 is an essential cofactor for the enzyme methionine synthase, which catalyzes the conversion of homocysteine to methionine in the sulfur amino acid pathway
Another commenter recommended that CMS implement an out-migration adjustment for non-hospital providers
