All medications

Instructions:
B12/MIC

Storage

Keep your vials refrigerated when not in use to maintain potency. Do not freeze, and avoid exposure to heat or direct sunlight.

Instructions

This information is intended for individuals who have been prescribed B12/MIC by their Alan Health provider.

Inject subcutaneously once every 3 days, or as directed by your healthcare provider, using a vial and syringe.

{{injection-video}}

Clean the injection site, insert the needle at a 45–90-degree angle, and inject the medication slowly. Hold until fully administered. Rotate injection sites daily to avoid irritation.

  1. Prep Your Supplies: Wash hands and gather the B12/MIC vial, insulin syringe, alcohol swabs, and a sharps container. Inspect the solution—it should be clear and free of particles.
  2. Draw the Dose: Clean the rubber top of the vial with an alcohol swab. Inject air into the vial equal to your prescribed dose, then draw up the exact amount. Remove any air bubbles by tapping the syringe and pushing gently on the plunger.
  3. Pick an Injection Site: Use the abdomen (at least 2 inches from the belly button), thigh, or upper arm. Clean the area with an alcohol swab and allow it to dry completely.
  4. Inject: Gently pinch the skin. Insert the needle at a 45–90° angle, depending on needle length and body type. Inject the medication slowly and steadily. Once done, remove the needle and apply gentle pressure with a clean swab. Dispose of the syringe safely in a sharps container.

If your medication has a seal, watch this video to learn how to remove it.

To learn how to inject your medication subcutaneously, please watch this video.

Missed Dose? If you miss a dose, skip the missed dose and continue with your regular schedule. If you have any questions about your dosing schedule, contact your Alan Health provider.

Understanding your insulin syringe

Disclaimer: This information is for informational purposes only and not a substitute for medical advice. Your prescribed injection method and dosage are determined by your doctor and provided by your pharmacy. Always review the dosing instructions included with your medication and consult your doctor with any questions.

Measuring your dose

Insulin syringes are used for subcutaneous injections. They are marked in Units on the insulin syringe barrel (see illustration). Insulin syringes facilitate the precise measurement of tiny amounts of liquids which are ideal for medications such as insulin that require small and accurate dosing. Unit marks are also expressed in mL’s and can be interchangeably referenced. A prescriber may write a prescription in Units or in mL’s.

Within the amount of liquid is the prescribed mg dosage of your medication (see mg chart). Milligrams (mg) is not an amount of liquid, but rather the amount of drug that is within. The conversion between units and milligrams varies depending on the concentration of the product being used.


Example: 2.5 mg/ml = 2.5 mg of B12/MIC in every 1.0 ml or 100 Insulin Units.
Important safety information
Always refer to the prescription dosing instructions included with your medication.
Please read our full guide before taking any compounded medication. Read more

What can I expect?

Safety information

The most common side effects of B12/MIC injections include minor injection-site pain or redness, diarrhea, and mild itching.

In rare cases, side effects may include allergic reactions such as hives, rash, itching, swelling of the face, lips, tongue, or throat, and difficulty breathing. Very rarely, chest pain, a rapid heartbeat, or shortness of breath due to fluid retention may occur. Seek immediate medical attention if you experience any of these symptoms.

A full list of side effects can be found here.

Do not use this product if you are currently pregnant, breastfeeding, or plan to become pregnant or breastfeed without consulting a qualified healthcare provider.

Note: If you or a family member has a history of Leber’s Optic Neuropathy, do not take this medication, as B12 may cause permanent vision loss in those with this condition.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Frequently Asked Questions

What makes B12/MIC different from regular B12?

B12/MIC offers all the benefits of standard B12 injections—like increased energy and better cell function—but adds lipotropic nutrients (Methionine, Inositol, and Choline) to further support fat metabolism, liver health, and weight loss. It’s a more targeted option for those looking to break through weight plateaus and boost metabolic results.

How does B12/MIC complement weight management programs?

B12/MIC supports weight loss by boosting energy, enhancing fat metabolism, and helping the body convert fat into usable fuel. It can make it easier to stay active, avoid fatigue, and break through plateaus—especially when combined with GLP-1s or other weight management treatments.

How does B12 / MIC support fat metabolism?

B12 helps convert fat into usable energy, while Methionine, Inositol, and Choline (MIC) assist the liver in breaking down and eliminating fat. Together, they support a more efficient metabolism.

What are the side effects of B12/MIC?

Side effects are rare but may include mild discomfort at the injection site, nausea, or digestive upset. In very rare cases, allergic reactions like itching or swelling may occur. Always consult with your provider before starting treatment.

When will I start to feel the effects?

Some people notice a boost in energy or mood within a few days, while others may see more gradual improvements in metabolism and body composition over several weeks. Consistency is key.

Can I take B12/MIC with other medications or supplements?

Yes—B12/MIC is often combined with other treatments, including GLP-1s, NAD+, and wellness supplements. However, you should always consult your provider before starting or adding any new treatments.

Is B12/MIC safe for long-term use?

Yes. When used under medical supervision, B12/MIC is considered safe for ongoing use. Your provider may adjust your frequency over time based on your progress and goals.

Do I need to refrigerate my B12/MIC product when I receive it?

Our pharmacy partners recommend refrigerating the product as soon as you receive it to maintain its potency over time. While the formulation is stable and effective without refrigeration for the first 30 days, refrigeration helps maintain potency throughout your full course of treatment.

Why isn’t it shipped with cold packaging if it needs refrigeration?

The B12/MIC compound is specially formulated to remain effective at room temperature for 30 days, which covers shipping and initial use. Because of this, cold packaging isn’t necessary, allowing for more reliable and convenient delivery.

What happens if I don’t refrigerate it right away?

No problem—if your product is kept at room temperature for a few days after delivery, it’s still safe and effective. We just recommend refrigerating it as soon as possible to preserve potency for longer-term use.

Additional support

For details about your medication and dosing, please log in to your patient portal. Your physician is here to help with any medical questions. If you are experiencing a medical emergency, call 911 right away.

Standard Titration Schedule
Week 1-2
0.6 mg
15 mg/mL
Once Daily
Week 3-4
1.2 mg
15 mg/mL
Once Daily
Week 5-6
1.8 mg
15 mg/mL
Once Daily
Week 7-8
2.4 mg
15 mg/mL
Once Daily
Week 9+
3 mg
15 mg/mL
Once Daily
Standard Titration Schedule
Week 1-2
0.1 mg
100 mg/mL
2 times per week
Week 3-4
0.3 mg
100 mg/mL
2 times per week
Week 5+
0.5 mg
100 mg/mL
2 times per week
Metformin
Week 1-6
Getting Started
Mild nausea or digestive changes are common. Take with food to ease symptoms.
Week 7-12
Blood Sugar Begins to Stabilize
Side effects usually fade. You may notice steadier energy and reduced appetite.
Week 12+
Ongoing Metabolic Support
Blood sugar levels improve, and many users see benefits in A1C and weight over time.
Week 1-2
Getting Started
Mild nausea or digestive changes are common. Take with food to ease symptoms.
Week 3-6
Blood Sugar Begins to Stabilize
Side effects usually fade. You may notice steadier energy and reduced appetite.
Week 7-12
Ongoing Metabolic Support
Blood sugar levels improve, and many users see benefits in A1C and weight over time.
Anti-Aging Complex
Week 1-2
Initial Sensitivity & Purging
You may experience mild redness, dryness, or flaking. This is common as your skin acclimates to increased cell turnover.
Week 3-6
Smoother Skin, Less Pigmentation
Skin starts to feel smoother, breakouts may reduce, and early hyperpigmentation begins to fade. Hydration improves as hyaluronic acid builds the barrier.
Week 7-12
Firmer, Brighter, Even-Toned Skin
Fine lines soften, texture improves, and skin tone looks more even and youthful. Most users see continued improvement over 8–12 weeks.
Anti-Aging Serum
Week 1-4
Scalp Adjustment & Shedding
Some users experience temporary shedding as older hairs make way for new ones. The scalp may feel drier or mildly irritated—this typically resolves.
Week 5-8
Less Shedding, Healthier Scalp
Inflammation and dandruff may improve thanks to ketoconazole, while minoxidil starts stimulating follicle activity.
Week 9-16
Thicker, Fuller Hair
Hair density begins to visibly improve. Clinical use shows noticeable regrowth and stronger strands with consistent application over 2–4 months.
NAD+ Face Cream
Week 1-2
Instant Glow, Gentle Start
Some users report a visible glow or smoother texture within the first few applications. You may feel a light tingle—this is normal.
Week 3-6
Hydration, Tone, and Texture Improve
Skin often becomes more even-toned and hydrated, with reduced dullness and fine lines as cellular energy and barrier strength are restored.
Week 7-12
Firmer, Healthier-Looking Skin
Elasticity improves and wrinkles soften. Continued use supports deeper repair, giving skin a firmer, more resilient appearance with lasting radiance.
Generic Latisse
Week 1-4
Subtle Beginnings
You may not notice much change at first. This phase is about setting the foundation—bimatoprost is extending your lashes’ growth cycle behind the scenes.
Week 5-8
Early Lash Gains
Many users start seeing longer lashes and less lash shedding. Look for subtle darkening and early thickening along the lash line.
Week 9-16
Fuller, Longer, Darker Lashes
Expect dramatically enhanced lash length, volume, and color. Clinical studies show up to 106% improvement in fullness, 25% longer lashes, and 18% darker pigmentation by week 16. Continue using generic latisse to maintain results.
Rosacea Treatment
Week 1-2
Gentle Start, Possible Tingling
Skin may tingle or feel slightly dry as the formula gets to work. This is normal and usually fades quickly.
Week 3-4
Redness and Bumps Decrease
You may notice a reduction in inflammation, fewer breakouts, and a calmer appearance—especially around the cheeks and nose.
Week 5-8
Skin Tone Looks More Even
Most users see fewer flare-ups and smoother texture by week 6. Ongoing use helps maintain long-term skin balance.
Oral Acne Treatment
Week 1-2
Hormonal Reset Begins
Your oil production begins to regulate, but breakouts may temporarily persist. Some users experience a short purging phase.
Week 3-6
Fewer, Milder Breakouts
Acne lesions often appear less inflamed and less frequent, especially along the chin and jawline. Oiliness typically decreases.
Week 7-12
Clearer, More Balanced Skin
Many users see significant improvements by month 3—fewer cystic breakouts, smoother skin, and more even tone.
Oral Minoxidil
Week 1-4
Early Shedding is Normal
Some users experience an increase in shedding during the first month—this means older hairs are making way for new growth.
Week 5-12
Subtle Signs of Progress
You may notice reduced shedding or fine baby hairs emerging along the hairline or crown. Results are still building—stick with daily use.
Week 12+
Noticeable Regrowth and Density
Hair appears fuller and thicker in areas of previous thinning. Most users see visible improvements in density and coverage by month 6 with consistent use.
Acne Cream
Week 1-2
Skin Adjustment Phase
Mild dryness, peeling, or a temporary purge may occur as your skin adjusts to increased cell turnover. Use moisturizer and SPF daily.
Week 3-6
Breakouts Diminish, Texture Improves
Blemishes begin to clear, and skin feels smoother as clogged pores are cleared and inflammation subsides.
Week 7-12
Brighter, Healthier-Looking Skin
Expect fewer breakouts and a visible reduction in post-acne marks and roughness. Continued use supports long-term clarity.
The Spot Corrector
Week 1-2
Early Adjustment
Mild tingling or dryness is normal as your skin adjusts. Continue with once-daily use unless otherwise advised.
Week 3-8
Visible Improvement
Dark spots begin to fade and skin tone appears more even and calm.
Week 9-16
Full Results
Brighter, clearer skin with reduced discoloration and improved tone. Continued use is key to maintaining results.
Hair Regrowth Spray
Week 1-4
Adjustment Phase
Your scalp may feel dry or irritated as it adjusts. Initial shedding can occur as dormant follicles transition to active growth.
Week 5-12
Less Shedding, Early Hints of Growth
You may see less hair in your brush and some fine regrowth beginning. Tretinoin and melatonin support absorption and scalp health.
Week 12+
Fuller Hair, Visible Improvements
With daily use, most users notice increased hair density and coverage in thinning areas. Continued use beyond month 3 is essential to maintain and build on results.