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Chauvet, E., et al


A Vitamin B12 injection delivers hydroxocobalamin directly into the muscle, allowing the vitamin to be absorbed into the bloodstream without relying on the digestive system

However, many MCAS patients are highly sensitive to standard methylated B12 (methylcobalamin), which can trigger severe symptom flares
Monitor for red flag symptoms including progressive weakness, bowel or bladder changes, or worsening neurological deficits