b12 injections z-track 7.5 Intramuscular – Clinical Procedures for Safer Patient Care The Efficacy of the Z-Track

We call it a methylblock

Suitable fluids: Try to choose protein rich liquids in between your meals: Skimmed or semi-skimmed milk (try adding dried skimmed milk powder or protein powder) High protein shakes, protein water Other fluids you can have: Still water Marmite, Bovril, consomm, bouillon Clear soups Herbal or fruit teas Tea and coffee (use sweeteners, not sugar) No added sugar/sugar free squash Sugar free jelly Diluted vegetable juice (no bits) Fluids to avoid: Fruit juices, malt drinks and fruit smoothies Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size All alcohol Aim to drink 1.5-2 litres of fluids each day

Interactions: Inform patients that certain drugs (antibiotics, methotrexate) can affect B12 testing, but generally B12 injections have no major drug interactions

Areas of Study Metabolic research: Examining NNMT activity and its modulation in cell and tissue models