silymarin glutathione as Supportive Treatment in Liver Diseases: A Narrative Review Third Party Manufacturing of Nutraceutical

Then my daughter sent me some methyl cobalamin shots and that was a lot more effective

Hypersensitivity reactions to non-betalactam antibiotics in children: an extensive review

If there is a lack of cobalamin in the body, methylmalonyl CoA accumulates, which presumably leads to the neurological manifestations of B12 deficiency.[4][7][9][12] The replenishment with parenteral cyanocobalamin causes a rapid and complete improvement of megaloblastic anemia and gastrointestinal symptoms caused by vitamin B12 deficiency

Alternate injection sites include the outer thigh or upper arm fatty tissue if rotating sites to prevent lipohypertrophy (tissue buildup from repeated injections)