Do you struggle with weight gain, brain fog, difficulty sleeping, depression, or feeling fatigued? B-12 is associated with brain and nerve health, sleep regulation, metabolism, serotonin metabolism (mood) and ENERGY!
We offer methylcobalamin injections at our clinic, which are self-administered in a subcutaneous injection syringe- the same as is used for insulin. Methylcobalamin is the natural, non-synthetic form of B-12. We give the refrigerated syringes to you in a bag with instructions, and you can purchase them singularly or in a series. We recommend they be taken daily for 5 days then weekly for 12 weeks. If you don’t live close to the clinic but would like to purchase a series, we ship them to your door in a shelf stable package.
After the series is complete, many of our patients continue taking an injection once or twice a month. Depending on what is right for your body, you can take more injections or switch to oral dosing.
B-12 levels are tested with our standard pre-pellet blood work for both men and women. It is generally not retested due to the efficacy and low toxicity of our injections. Should you take the B-12 and want your values retested, that can be done.
Optimal vitamin D levels help with bone health because your body needs vitamin D to absorb calcium. It’s a powerful antioxidant and anti-inflammatory which is important for brain, muscle, and immune health. Research has shown it specifically decreases your risk of developing cancer, multiple sclerosis, and rickets. It lowers risk of depression and other mental health disorders. Because low vitamin D is linked to insulin resistance, optimal levels decrease the risk of diabetes.
The only way to have optimal levels of vitamin D is through high level supplementation. In functional medicine, we recommend 10,000 IU daily for most and up to 20,000 IU daily for others. Serum vitamin D levels of 80-100 are needed to eliminate risk of symptoms or disease. The only way to achieve these levels is by taking 10,000-20,000 IU daily. In conventional medicine, patients are often prescribed 50-70,000 IU in once weekly doses. When we do blood work for these patients, their vitamin D is suboptimal, up to 50, but usually floating around 30. The reason is that vitamin D has a short half life of only about 15 hours, so the day the vitamin D is taken, it’s at peak levels and then sharply declines thereafter.
Most people do well with the oral medication we recommend but a rare few need an intramuscular injection. This is a large dose but because it bypasses the GI system, the body metabolizes it slower so it stays in your system longer. We can prescribe injections for those who need it.
To find out how low your levels are and what dose of vitamin D you need, we start with blood work. We do not routinely retest vitamin D levels because it is near impossible to get them to 150, the level at which they are dangerous. If you would like your level retested after beginning supplementation, ask us to add it when we give you your lab order for your post-pellet blood panel.
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