B12-- how do you give sublingual?

Fred has low B12 (and has had terrible wobbliness and falling and can't get up--and very high numbers lately)

His B12 is 235 (and low end of the range app. is 276)

Vet suggested I inject hiim with .25ml of cyanocobalamin. He had no idea about methylcobalamin.

I already have the subQ methylB12--what is the best way to give it to Fred?

I tried putting it on my finger and sticking it in his mouth--lots of pokes, he was OK with it, not sure how much got in there

Can I put this in food? Any other ideas?

ALSO, if anyone wants to venture to the Lantus forum, I just posted Fred's numbers for the last 2 months. Have no idea what to do about dosing--could use some advice--have ranged from .5 to 1.5 dose and am getting chronically high numbers....

 

When I used it on my Maxwell, I crushed it and mixed it in his food. It won't hurt other cats if they happen to eat Fred's food.

 

Hmm ... I'd actually be tempted to both oral methylcobalamin and injectible cyanocobalamin. Low B-12 can cause muscle weakness, which could be the problem here. But unregulated / under-regulated diabetes can cause diabetic neuropathy, which can also cause muscle problems (usually manifests in the hind legs first). Oral methylcobalamin can help slow the progression while the cat is having regulation issues, and can help speed the recovery once the diabetes is under control. And excess B-12 is generally just passed harmlessly in the urine, so it isn't usually a problem.

The dosages would probably be ~3mg oral methylcobalamin per day, and .25mL injectible cyanacobalamin per week. You give the injectible sub-Q, just like insulin, and you can use your insulin syringes to give it. IIRC, my vet sold me a bottle of injectible B-12 for ~12-15 dollars, and it lasts for well over a year.

And I'm not a Lantus user, so I can't help with that; sorry.

-- Jean and her Gwyn

 

Methyl B12 tablets can be crushed and added to food easily.