alternative protocols (e.g., 100 mcg every other day) may be selected based on clinical response and laboratory indices
Pinch the injection site just a little bit and stick the needle straight in (not at an angle)
A standard FormBlends MIC B12 formulation contains methionine 25 mg/mL, inositol 50 mg/mL, choline 50 mg/mL, and methylcobalamin 1,000 mcg/mL
Comment: Commenters offered a variety of alternative approaches to address concerns with the proposed modifications to the Safety of Care measure group and the Overall Hospital Quality Star Rating
The October 2024 international consensus guidance, including from the American Society of Anesthesiologists, took a more nuanced position than earlier blanket-stop advice: 11 Patients on stable doses, without GI symptoms, who are not in the dose-escalation phase can usually continue their medication before elective surgery Higher-risk patients (recent dose escalation, GI symptoms, very high doses) should follow a 24-hour clear-liquid diet before standard 6-hour fasting For emergency surgery, the anaesthetist will use techniques that protect against aspiration regardless of fasting The specific plan should be agreed with your surgical team and anaesthetist in advance
If you follow a vegetarian or vegan diet, consider fortified foods like plant-based milk and nutritional yeast
