Doctor insights on:
B12 Shot Or Sublingual
B12 as methylcobalamin or B12 as cyanocobalamin - which one is safer/better and in what form : pills or sublingual?
No difference: 2 mg oral is supposed to be as good as sub lingual. I usually recommend 1.7 mg SL liquid every week for 2 months then once every 2 weeks thereafter. I recommend maintaining a level of 550 at all times. One should also check folate (folic acid) level and make sure that is OK. If anemic and you are replacing B12 its wise to check for low potassium as correction of the anemia can deplete K+ stores. ...Read moreSee 1 more doctor answer
Effective: They both are effective.Get a more detailed answer ›
Depends: If you are deficient in B12 and are unable to absorb the vitamin through oral intake, an injection would be appropriate. Even if you are deficient and have malabsorption, you may wish to try a sub lingual form of B12 supplement. It would be appropriate to discuss it with your doctor to see if you need B12 supplement and if you do, in what form. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
B12 level is 260 pg/ml. Taking 1000 mcg B12 methyl. per day sublingually. Can I expect my B12 level to cross 450 pg/ml at this dose in "3 MONTHS"?
What to do if I have strep throat, and was given a shot of 1, 200, 000 units of billicillin with 80 unit of Depo-Provera Medrol (methylprednisolone) 40 mg?
Is it possible for corticosteroid shots (like kenalog (triamcinolone) or prednisone) cause cancer?
Oral Steroids: Oral steroids, more often than not, tend to be anti-tumor and are actually used quite frequently in chemotherapy regimens. Anabolic steroids used for nefarious means can lead to cysts and/or tumors, most often on the liver. Usually the doses and uses of Anabolic steroids are significantly higher than the medications of which you speak. And are often obtained in illegal ways increasing there danger. ...Read more
Gum bleeding was gone with 7- B12 inj 500 mcg daily.after the loading dose,it started again.taking sublingual.but does not help? cause of Gum bleding?
Infection: Probably gum disease. Easily treatable by a competent Dentist or Periodontist in its earliest stages. Treatment becomes more complex as disease advances. Please make appointment with Dentist. Unless lab tests show that you have a B12 defficiency (seen often in strict vegetarians), bleeding gums most probably due to infection. ...Read moreSee 2 more doctor answers
Which form of B12 is best for shots/injections and why?
Usually Methyl but..: One thing is clear- Cyano is worst- it has small amounts of cyanide the body must detox & convert it to an active form; little is converted. Methyl is the active form, esp. good for those with MTHFR mutations & neurological symptoms & best for most. Some do better with Hydroxo. Experts agree Hydroxo better than Cyano but haven't seen many comparisons of Met vs. Hydr.See http://tinyurl.com/pp5a8zb ...Read more
Steroid tappering related to dose or duration of use? Imean if i give COPD pt IV 200mg steroid single dose when he not respond to bronchodilator
Both: The first step is to decide how much steroid is needed to treat the problem and help the symptoms. A single dose of steroids does not require tapering. The general rule is over 20mg for over 2 weeks should be tapered. Stopping suddenly after this point might be OK but runs the risk of a life threatening problem. ...Read more
Started singulair (montelukast) yesterday. Also got an injection of 10 mg of Decadron due to sinus issues. Today i'm having intermittent palpitations. Is this more likely to be from steroid injection or singulair (montelukast)!
Steroids: This is a side effect of steroid injections. Also may include things like flushing, nausea, etc. To be very fair, singulair (montelukast) can also cause difficulty breathing and heart palpitations. But, these are listed as severe, rare side effects, while the palpitations from steroid injections are much more common. Good luck! ...Read moreSee 1 more doctor answer
Took B12 inj 500 mcg for a week and now 1500mcg sublingual daily.Is it common to sleep after the inj or sublingual? or does that mean i am on overdose
Almost anywhere: It is hard to go wrong with B12 injections.. anywhere there is enough fat can be used, but usually the stomach, buttock, upper arm. I teach my patients to do home B12 injections all the time. There are actually lots of You Tube videos teaching people how to give shots. ...Read moreSee 1 more doctor answer
Why do you need it?: Why are you getting injections? Did a doctor test for deficiency? Are you vegan? If not, why are you deficient? Don't get B12 injections or take pills (less expensive) unless you are vegan or have a known deficiency. B12 is in fish, chicken and meat. Eat fish like wild salmon for a healthy source of b12. ...Read moreSee 1 more doctor answer
Depends: The efficacy of allergy shots (immunotherapy) can be maximized by seeing a board certified allergist. Allergists receive extensive training in treating with allergy shots. In the right patient, they can be curative, and hopefully decrease or eliminate the need for allergy medications. Allergy drops have also been shown to be very effective, but are not yet fda approved. ...Read more
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