Is it safe to give a lipotropic intramuscular injection and a vitamin B12 intramuscular injection at the same visit in a patient without allergies, severe hepatic disease, uncontrolled renal failure, pregnancy, nursing, or highrisk anticoagulation?
In cats, it is most common for B12 to be supplemented by a subcutaneous injection under the skin
Colchicine, Neomycin, Aminosalicylic Acid, H2-blockers (e.g., Ranitidine), and Proton Pump Inhibitors (PPIs, e.g., Omeprazole): These oral medications can all interfere with the intestinal absorption of dietary B12, making the need for injectable B12 more pronounced
By inhibiting the NNMT enzyme, it prevents the excessive consumption of NAD+, a critical molecule that your cells need for energy production, DNA repair, and maintaining healthy metabolic function