b12 injection substitute Lipo-B but a deficiency may occur in certain health conditions (e.g. How Can Vitamin B12 Shots

A consultation with a best urologist is essential to get a proper diagnosis and treatment plan

[1] [4] The safety of glutathione injection in patients with severe hepatic or renal impairment has not been established, and its use in these populations should be carefully considered and monitored by a healthcare provider

The injection can be given every six months if due to a dietary deficiency or 2-3 months if the cause of your low B12 levels is pernicious anaemia

I wish you well I respect your judgement over mine, but I haven't found any deterioration in ampoules that have been stored in the dark but are a year beyond their date

Patients with mild to moderate renal impairment generally do not require dose adjustment, but closer monitoring may be warranted, particularly for signs of gastrointestinal adverse effects that could lead to dehydration and worsening renal function