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Hormone & Longevity
Second line — by exceptionNot a controlled substanceCompounded by a 503A pharmacy

MIC + B12

Lipotropic and methylcobalamin blend

Methionine, inositol and choline combined with methylcobalamin B12. A long-standing adjunct for patients on a metabolic programme, particularly where B12 is low.

This is not where treatment usually starts. It is prescribed when the manufactured, FDA-approved option has been ruled out for you specifically, and your nurse practitioner has to write down why before it can be sent to a pharmacy. You are welcome to ask about it — just expect the conversation.

Regulatory status

Compounded drug. Not FDA-approved. Individual components are recognised bulk substances.

Nutrient injection therapy

Frequency

Weekly injection

Route

Intramuscular

Supply

4-week patient-specific supply

Minimum age

18+

What it does

What patients get from this

  • Corrects B12 insufficiency
  • Supports hepatic fat metabolism
  • Inexpensive adjunct to GLP-1 therapy
  • Well tolerated by nearly everyone

We will not prescribe this if

  • Known cobalt or cobalamin hypersensitivity
  • Leber hereditary optic neuropathy

The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.

Labs your NP may order

  • Vitamin B12
  • CMP
  • CBC

Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.

Please read

  • Compounded drugs are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
  • Filled in your name and shipped to the clinic for you. Never drawn from a shared supply.

About compounded medication

A compounded preparation is made for one named patient by a licensed pharmacy. It is not an FDA-approved product: the FDA does not review it for safety, effectiveness or manufacturing quality. Your nurse practitioner has to record a specific clinical reason why the commercially available product will not work for you before this can be prescribed — and cost on its own is not one.

A 503A pharmacy may not supply a clinic with shared stock, so your prescription is filled in your name and shipped to the clinic for you. A nurse cannot administer it without linking the order it came from.