CONCLUSION: Intramuscular methylcobalamin is both an effective and safe method of treatment for patients with nonspecific low back pain, both singly or in combination with other forms of treatment
Sterile water for injection contains no preservative and is single-use only, while bacteriostatic water contains 0.9% benzyl alcohol that inhibits microbial growth across multiple punctures
Selective NNMT inhibition as a strategy for metabolic disease
However the small amount of corticosteroid present in the preparation, doses should be adjusted according to the evolution of the condition and patients response, especially in situations of physical or emotional stress, surgery or injury
Be sure to mention if you have ever had an allergic reaction to vitamin B12, cyanocobalamin, or cobalt, or if you have a rare inherited condition called Leber hereditary optic neuropathy (LHON)
Less Common Side Effects Dizziness or fatigue: Some patients report lightheadedness or unusual tiredness after injection