Vitamin B12 given as hydroxocobalamin is usually intended for the muscle, and a needle that is too short can deposit it in the fat layer instead
A licensed telehealth practice changes that ledger, not the underlying science, by putting a clinician ahead of the compound: an intake evaluation, a prescription where warranted, dispensing through a licensed compounding pharmacy, scheduled follow-up, and a provider positioned to say plainly where the evidence sits for each molecule
Various tests, including blood work, PCR testing, and fluid analysis, may be employed to confirm a suspected FIP diagnosis
One clinical trial of pregnant and lactating mothers found that mothers needed to consume 3 times the recommended amounts of vitamin B12 to maintain adequate vitamin B12 status throughout pregnancy and lactation