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Divalproex (Depakote) is a slightly different formulation of valproic acid and is often used instead due to GI side effects

But, some clinics might include HCG in a weight loss program that could be partially covered if its for a health issue

If you have a medical condition where you are unable to absorb sufficient B12 from your diet, you will need to get a shot every week/month to stay healthy.

The approved dosage for cyanocobalamin nasal spray is 500 mcg (1 spray) in just one nostril once a week

PubMed: Stier H, Vos E, Kenley D

B12 given intravenously provide a concentrated dose of B12 directly to the bloodstream or muscle via injection