The lipotropic agents, which might include methionine, inositol, and choline, are amino acids that help the liver remove fat and toxins from the body
Bacteriostatic water containing 0.9% benzyl alcohol is preferred for multi-use reconstitution because it inhibits microbial growth and extends usable storage duration compared to plain sterile water
These alternatives must pass through the digestive system, which reduces potency
Estimated at 46 hours based on pharmacokinetic modeling
Information summarized from existing preclinical and analytical literature
In UK practice, monitoring is primarily based on clinical response rather than routine blood tests, as post-treatment serum B12 measurements can be misleadingly high and may not reflect tissue levels