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Experimentally it has been demonstrated to accelerate the healing of many different wounds, including tendon-to-bone healing and superior healing of damaged ligaments

Progress notes should explicitly state patient requires parenteral B12 due to intrinsic factor deficiency documented by positive anti-IF antibodies. This language connects diagnosis, treatment mechanism, and medical necessity in a single statement

The authors also point out that in some rare genetic disorders of B12 metabolism, the active forms may be required, and that smokers, who tend to have an excess of thiocyanate in their blood, may benefit from a taking a form other than cyano-B12

This approach is particularly valuable when nausea and vomiting make it impossible to keep pills down

Make sure to speak with a physician about vitamin B12 shots (including lipotropic weight loss shots).