I havent had time to read it all completely but the conclusion was that they dont really know much about it
Cost per day: $0.03-0.04 Annual cost: $10-15 Best value if: Budget is tight and you have no genetic issues Methylcobalamin: $15-25 per 120 capsules (1,000mcg) Cost per day: $0.13-0.20 Annual cost: $50-75 Best value if: You want optimal absorption and neurological support Hydroxocobalamin (injection): $15-30 per vial (1,000mcg) Monthly cost: $15-30 (one injection/month maintenance) Annual cost: $180-360 Best value if: You have malabsorption or pernicious anemia (no point paying for oral that wont absorb) Adenosylcobalamin: $25-40 per 60 capsules (1,000mcg) Cost per day: $0.40-0.65 Annual cost: $150-240 Best value if: You need mitochondrial/energy support beyond what methylcobalamin provides Combination formulas: $20-40 per 60 capsules (500mcg each of 2-3 forms) Cost per day: $0.35-0.65 Annual cost: $130-240 Best value if: You want comprehensive coverage and dont mind the premium The value calculation: Cyanocobalamin to Methylcobalamin = 5x price increase for better absorption/activity Methylcobalamin to Injections = 3-4x price increase for 100% absorption Is it worth it
Cooking destroys folate in the diet Excessive alcohol intake Medicines such as phenytoin, sulfasalazine, Bactrim Malabsorption diseases such as Celiac disease, Crohns disease Kidney Dialysis How Do I know If Im Low in B12 and/or Folate
We measure serum vitamin B12 levels before starting and at follow-ups
CPT 20600 and 20604: Small Joint Injection CPT 20600 reports a small joint injection, such as a finger or toe joint, and 20604 reports the same with ultrasound guidance
