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Both of these drugs are protein-bound and exhibit some dissociation between free and total levels, but the dissociation appears particularly pronounced with valproic acid

Patients with a clinically diagnosed B12 deficiency such as pernicious anaemia should be under GP care for ongoing management

Product Composition (Per mL) Methionine 20 mg Inositol 50 mg Choline 50 mg Vitamin B12 (Methylcobalamin) Standard dose (varies per compounder, often 1,000 mcg/mL) Total Volume 30 mL multi-dose vial Form Sterile, preservative-free injectable solution Route of Administration Intramuscular only Compounded to USP standards Storage Refrigerate at 28C Mechanism of Action Lipotropic Complex (MIC) MIC stands for Methionine , Inositol , and Choline a trio of nutrients known for their lipotropic (fat-loving) activity

169.Pucak M.L., Carroll K.A., Kerr D.A., Kaplin A.I

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Fremont S, Chamigneulle B, Gerard P, Felden P, Lambert D, Gueant JL, et al