People can feel fragile, flare easily, and struggle to make durable progress despite trying multiple therapies
Likewise, it should not be used for epidural or spinal (neuraxial) injections, or as a general IV fluid
For individuals with digestive conditions, malabsorption issues, or those whove undergone procedures affecting nutrient uptake, injections provide the only reliable B12 delivery method
In a hospital outpatient or ambulatory surgery center setting, the facility bills separately, and the physicians reimbursement is reduced accordingly
Medically reviewed by Missy Zammichieli, DNP, APRN, FNP-BC Updated March 24, 2026 Book Consultation WHAT IS BPC-157
Delivery times can vary slightly by location and courier