Ingredients:

Lactated Ringer’s or Sodium Chloride 0.9% (500-1000ml)

B12 – 1000mcg IV, Slow push or IM. Methylated B12 will help conversion and methylation of folic acid. Vitamin B12 should reduce fatigue and therefore improve muscular endurance. Since Vitamin B12 is crucial to the production of nerve cells, RNA/DNA and red blood cells, energy levels come into play. B12 is a cofactor for conversion of homocysteine into methionine which is important for DNA methylation. Furthermore it is important our growth, cell reproduction and nervous system. B12 also aids in reaction associated with metabolism of fats, carbs and protein synthesis. The methylated form is the active form which if any patients have a methylation mutationon the MTHFR gene they will need the methylated form for their body to be able to use and process the B12.

Pyridoxine 100mg/ml – 0.5-1ml – B6 improves nausea and morning sickness in pregnancy. Dosing is to be kept under 100mg per day.

Add on:

B Plex (B1, B2, B3, B5, B6 100-2-100-2-2mg/ml) – 1ml IM or dilute 1:5 NS LR and slow push – Depending on the pH of the Bplex there can be precipitation with other additives, please visually check for particles. A blend of B Vitamins help to increase metabolism as cofactors for metabolizing carbs, fats and proteins. They support the immune system, red and white blood cell production, energy levels, cardiovascular health, inflammation, and more.

Consult required for:

Ondansetron 1mg/ml – Note from OBGYN and Consult required. Dose per provider. Add to bag or slowly push over 2 to 5 min

Safe in pregnancy/nursing, do not give add on Bplex more than 2 times per month