FREQUENTLY ASKED QUESTIONS
What does vitamin B12 do for you?
Vitamin B12 is vital for health, required for proper red blood cell (RBC) formation + provides the body with energy. It's involved in approximately 100 vital bodily functions including DNA synthesis, protein conversion, neurological function + fatty acid production. Because it’s so important for health, it’s the foundation of all our formulas. Benefits include improved energy, better sleep, elevated mood (it increases serotonin), increased focus, hormone regulation + so much more!
B12 has been used to treat conditions including bursitis, hepatitis, Bell’s palsy, vitiligo, herpes zoster, hyperhomocysteinemia, sciatica, trigeminal neuralgia, depression, dementia, chronic fatigue, neurodermatitis, diabetic neuropathy, hyperthyroidism, asthma, infertility, tobacco amblyopia + cyanide poisoning.
How is a B12 shot different than taking an oral supplement?
Many people have trouble with nutrient absorption—from supplements or food—due to the presence of intestinal inflammation, poor gut health, or a deficiency of intrinsic factors—glycoprotein produced in the stomach that's essential for B12 absorption. Injecting nutrients intramuscularly sidesteps this issue by delivering nutrients directly to the cells, feeding your body instantaneously for immediate utilization.
How long will the effects of a B12 shot last?
The nutrients we provide are water-soluble. The only water-soluble nutrient that has the capability of being stored in the body is B12; however, it's in minute amounts. Having said all that, the effects of our shots vary between individuals, but typically are felt for about one week.
Are B12 shots prescription-only?
Yes. Even though our injections consist of natural medicines—vitamins, minerals, amino acids, homeopathics—any solution that gets injected into the body is Rx only (that includes saline solution). Only doctors whose scope of practice allows them to prescribe drugs (MD, DO, ND/NMD) can order sterile solutions for injection; nurses with prescription rights who are under the direct supervision of a physician may also order Rx solutions for injection.
Are there preservatives, parabens or toxic ingredients in the shots?
Absolutely not. Most of our sterile solutions have a small percentage (0.9%) of Benzyl Alcohol—a natural "preservative." Some solutions may also contain NaOH (sodium hydroxide) to adjust the pH for a more comfortable injection experience. We avoid commercially manufactured B12 + injectable solutions because they're commonly made using more parabens than nutrients to promote a longer shelf life + allow them to be shelf-stable rather than needing to be refrigerated. In most commercially available forms of B12 we've found, there's commonly three times more parabens than there is B12 in solution, yielding an injection of toxic preservatives with a “side” of vitamin B12. We use “clean” + cruelty-free solutions!
Can I get a shot if I’m pregnant or breastfeeding?
Not at B Bar®. We err on the side of caution + take your + your baby’s health very seriously. You can find places that will administer shots to you, but know this: Vitamin B12 shots are pregnancy + breastfeeding category C, meaning it is not known whether they will harm an unborn or nursing baby (B12 passes into breast milk). Additionally, most B12 for injection (including ours) contains benzyl alcohol as a natural preservative. While this is generally considered safe, it is not safe for neonates (newborns less than 4 weeks old) or low-birth weight babies—it has been associated with toxicity, metabolic acidosis + death in those baby populations. It is much safer to take an oral or sublingual B12 supplement if you are pregnant or breastfeeding. Please consult your doctor for more information.
What are biological homeopathic preparations?
Biological homeopathic preparations are composed of low-dose active ingredients that help restore the body's ability to self-regulate + heal. They contain sterile water for injection + sodium chloride; there are no preservatives or animal-derived components in the preparations we use. They are classified as immunomodulatory drugs, non-toxic, have no or extremely rare side effects, no known drug interactions + are compatible with subsequent allopathic (conventional) drug use. Many people have benefited from injectable biological therapy, oftentimes where allopathic medications have not offered relief. The preparations are all different but similarly focus on drainage, detoxification, regeneration + oxygenation to promote healing from within.
Biological homeopathic preparations for injection are sterile solutions + are very different from the homeopathic remedies (pills + tablets) found in the green, yellow, blue + purple canisters at your local health store.
Biomedical therapy is a modality used in traditional medicine; its use is based on the Materia Medica. The laboratories + manufacturing facilities are certified by globally recognized institutions such as the US Food + Drug Administration (FDA) + meet validated manufacturing standards such as Good Manufacturing Practice (GMP).
Are there any side effects?
Side effects are generally non-existent or mild. On occasion, you may experience some discomfort, bruising, redness, itching, inflammation, or tenderness at or around the site of injection that could last from a few minutes to several days. Less frequent side effects may include lightheadedness, nausea, fatigue, headache, dizziness, warmth or flushing. True allergic reaction is extremely rare. However, if you experience throat swelling, a pruritic (itchy) body rash, dangerously low blood pressure (that may result in lightheadedness, fainting or feeling weak), or symptoms associated with anaphylaxis (throat swelling, trouble breathing) following administration of an injection, please visit your nearest emergency department without hesitation or call 9-1-1. If you know you are allergic to any of the ingredients in a shot — please avoid it! Methionine (part of “MIC”), taurine + glutathione are sulfur-containing amino acids. Sulfur is the eighth most prevalent element in the human body + no one is allergic to sulfur; it is not to be confused with Sulfa drugs or sulfites, which are allergenic.
Shots that contain a homeopathic solution may cause what's known as a curative response, which is not to be confused with a side effect. A curative response is not always experienced, but when it is, it is nothing more than the perceptible effect of the homeopathic remedies in their curative action—enabling the body to change from a state of imbalance to one of balance. These effects can be more or less pronounced, but soon pass as the body moves beyond the effect of the remedy + proceeds to gently heal (balance) itself.
You may also notice that your urine is pink or “reddish”—this occasionally happens if the shot you’ve received contains more B12 than what your body can utilize + store at the moment. Your kidneys will flush out the excess; because B12 in solution is red, urine may appear pink or reddish (it’s nothing to be concerned about).
Do the shots hurt?
Everyone’s pain tolerance is different; however, discomfort or pain is more common when you are dehydrated, tense, or you’ve just worked out the muscle we’ve just injected … or (C) … all of the above! The key is to relax, be well-nourished + hydrated! Being well-hydrated also decreases risk of bruising from an injection.
Our doctor is very proficient + a shot typically causes little to no pain. It has much to do with how relaxed you are during the injection (mind + body), if you've just exercised (causing a tight muscle) + how hydrated you are. You will be instructed on how to stand + breathe for relaxation + the most comfortable experience. Being well-hydrated (+ nourished) is extremely beneficial. If you come in wearing heels, it may help to kick them off to help relax those glutes!
Who can benefit from getting a shot?
Everyone can certainly benefit from receiving a shot with vitamin B12. People who are most at risk of being B12 insufficient or deficient are vegans + vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery + people who take certain medications including, but not limited to, birth control pills, H2 receptor antagonists (such as Tagamet®, Pepcid® + Zantac®), PPIs (Proton Pump Inhibitors such as Prilosec® or Prevacid®), Chloramphenicol (Chloromycetin®) + Metformin.
Will the shots keep me awake at night?
Our shots do not contain any stimulants like caffeine, but it’s generally best to experience a shot prior to 6:00 PM or so, depending on how sensitive you are. Getting a shot too late in the day may promote insomnia that night + possibly even vivid dreams. Vitamin B12, while providing cellular energy by day, is known to help promote deeper, healthier sleep when it comes to bedtime, if it's not taken too late in the day.
Where on the body do you inject the shots?
Our shots are intramuscular (IM) injections, meaning the solution gets injected into your muscle. We typically administer the shots in the upper outer quadrant of the gluteal muscle (the gluteus medius). Don't worry—we don’t need much ‘southern exposure’! It’s not technically on the buttocks, it’s just above it in the hip region.
Will I bruise?
If you're taking a medication or supplement that thins the blood like warfarin, Coumadin, aspirin, fish oil, ginkgo biloba, garlic ... your risk of bruising from a shot increases. Other reasons for bruising include, but are not limited to, thinning skin, vasculitis, purpuric dermatosis, platelet deficiency, liver disease, vitamin K deficiency, vitamin C deficiency, moving your body during the injection, or dehydration. It’s important to remain still + relaxed until you’re told “you’re all set”!
Are the injectable solutions sterile?
Absolutely! Our sterile injectable solutions are provided from certified compounding pharmacies, including certification from PCAB—the Pharmacy Compounding Accreditation Board. PCAB is a nonprofit organization that provides a voluntary accreditation program for compounding pharmacies across the country. Formed by eight of the nation’s leading pharmacy organizations, PCAB promotes, develops + maintains principles, policies + standards for improving the quality of pharmacy compounding nationwide. The laboratories + manufacturing facilities used are certified by globally recognized institutions such as the US Food + Drug Administration (FDA) + meet validated manufacturing standards such as Good Manufacturing Practice (GMP).
Are the shots safe?
All vitamin shots are water soluble + the biological homeopathic preparations we use are generally considered safe. However, some nutrients should be avoided in the presence of certain health conditions + circumstances including pregnancy, breastfeeding, cancer, advanced liver disease, seriously compromised kidney function + hypotension.
I'm not vegan, why would I need a B12 shot?
B12 deficiency isn't just a problem for vegans; many people develop a B12 deficiency regardless of their diet—it has more to do with lack of absorption rather than lack of intake. The Framingham Offspring study found that 39% of the general population may be in the low normal + deficient B12 blood level range. There was no significant difference between those who ate meat + those who did not. New research shows that eating animal products causes animal sugars, such as Neu5Gc, to become attached to cells that line our hollow organs like the stomach causing the body to make antibodies against these sugars causing chronic inflammation.
Do I need an appointment to get a shot?
No. You don't need an appointment, but we do suggest making a reservation + filling out our Informed Consent online before your first visit to save you time at the Bar. We accept walk-ins, but accommodate those with reservations first, much like a restaurant would. Reservations can only be made online, we don't schedule them over the phone.
What is your cancellation policy?
Reservations for shots at B Bar® are similar to reservations at a restaurant. There's no cancellation fee associated with no-shows or late-shows. However, we kindly request that you cancel your reservation if you know you're not going to make it so another person can book in at your scheduled time. If you have a standing reservation + are a no-show three times in a row, all your future reservations will be automatically cancelled.
We offer reservations to help customer flow + reduce wait time. If you arrive late for your reservation, we will accommodate you as soon as we can. If you are 10+ minutes late, you will be treated as a walk-in + you'll need to wait your turn in line. If your tardiness is due to an extraordinary circumstance or emergency, please let us know + we'll do what we can to best accommodate you.
How long does it take to get a shot?
Each person takes a few minutes to process + each shot takes a few minutes to prepare + a few minutes to administer, so it can take between 5 to 10+ minutes total per person. If you need to fill out the Informed Consent, it may take an additional 5 to 10 minutes or so. Our Pop Up is a mobile doctor's office providing a medical treatment—it shouldn't be perceived like a fast food drive-through—please have patience. We work as quickly as possible to provide you with quality care + service keeping your safety our number one priority.
What's the benefit of getting a nutrient injection?
Everyday life contributes to the congestion + buildup of harmful toxins in the body from processed foods, pollutants + stress that can lead to an unhealthy life experience. Our shots aim to improve your quality of life by supporting the immune system, nourishing, detoxifying + rejuvenating the body, as well as targeting specific goals like increasing energy, elevating mood, improving focus, boosting vitality, promoting weight loss, reducing pain, decreasing inflammation, balancing hormones … concerns that plague those of us living in the modern world.
Many health conscious individuals choose to drink smoothies to improve their nutrient status + health. However, some people have food sensitivities including to fruits + veggies. In addition, not all the nutrients from eating or drinking your fruits + veggies get absorbed through the digestive system. By injecting nutrients directly into your muscle tissue, they're immediately disseminated throughout your entire body for immediate utilization. Typically only a single digit percentage of nutrients gets absorbed when taken orally (or eaten) whereas injecting the nutrients bypasses the digestive tract enabling them to bathe your cells with all their goodness. You may even taste the nutrients within seconds of getting a shot—that's how fast it travels throughout your body!
Can I get too much B12? I just had blood work + my B12 was off the chart. Should I be concerned?
The short answer is no. The Institute of Medicine (IOM) has not established an upper limit (UL) for vitamin B12 because of its low potential for toxicity. In Dietary Reference Intakes: Thiamine, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin + Choline, the IOM states that “no adverse effects have been associated with excess vitamin B12 intake from food + supplements in healthy individuals.” Most water-soluble vitamins have no known upper limit for intake with little to no possibility of toxicity.
A high level on a typical serum B12 test when supplementing with B12 is not of concern. However, a high level when NOT supplementing with B12 may necessitate further testing to rule out any underlying condition.
Do you offer discounts on shots or have specials?
Yes! We offer, what we call, 2-fers. For those who enjoy the benefits of getting two (or more) shots at the same time, we extend a substantial savings. When you buy one regularly priced shot, you get your second shot 1/2 OFF—that's a 50% discount! The deal is, all shots have to be administered at the same time to the same person—they can't be saved for a future visit, transferred or shared with your BFF. Discounts are taken off the least expensive shots.
Can I get a shot to go?
No. Shots are administered on site + are not dispensed to leave our premises. To ensure sterility + authenticity of our shots, they need to be administered once they're drawn up specific for each client. Your safety + health is our primary concern.
Are there antibiotics in the shots like there are in vaccines?
Absolutely not. Our substances are all sterile + don't need to be compounded with antibiotics like what occurs with certain vaccination types.
Are the shots organic?
The ingredients of the injectable solutions are not from a farmed source, therefore they cannot be “organic.” The term "organic" denotes pesticide-free or the reduced exposure of pesticides on crops. The injectable solutions are not from farmed sources or crops + are consequently free of pesticides + harsh chemicals.
Is your B12 vegan?
Yes! Our B12 is derived from natural cultures that are not animal sourced. As a matter of fact, all our shots are vegan friendly.
Is it normal to taste the vitamins after getting a shot?
It can definitely happen. Some people will taste the nutrients on occasion, others never do. If it happens, it’s usually evident within minutes of getting a shot. It’s nothing to worry about … it’s just an indication of how quickly the shots get absorbed + transported throughout the entire body.
I have MTHFR. What form of B12 do you use?
We use methylcobalamin. Unlike cyanocobalamin, methylcobalamin does not contain a cyanide molecule; it’s highly absorbable + what’s typically recommended for those with MTHFR.
I got a B12 shot and didn't feel any benefit. Why is that?
Many people are deficient in glutathione, which gets depleted in the body as we age + by Tylenol® (acetaminophen) use. Glutathione is necessary in the transportation of methylcobalamin, so if you’ve received a B12 shot + you're not getting a good effect from it, you may be deficient in glutathione. Try adding glutathione to your shot + see if you notice a difference, or choose from one of our specialty shots formulated with glutathione: (B) AGELESS™, (B) INVINCIBLE™ + (B) a ROCKSTAR™. If glutathione is not the answer, you may be low in folic acid (folate).
I received a complimentary B12 shot, can I apply the cash value to a different shot?
No. Promotional items have no cash value + cannot be redeemed for cash or applied toward any purchase.
What is your affiliation with Pharmaca?
We are partners in health + community offering you the very best in natural health solutions, but we are completely separate businesses. It's similar to having a Starbucks inside a Target store. Your purchases are independent of one another, but the location offers an array of wonderful services + convenience for a like-minded clientele.
If you have questions about our services, your receipt, or anything B Bar® related, please contact us directly + not Pharmaca. Thank you!
Vitamin B12 Dietary Supplement Fact Sheet. National Institutes of Health, Office of Dietary Supplements. [NIH]
Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academy Press, 1998.
Food and Nutrition Board, authors; National Research Council, editor. Dietary reference intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, pantothenic acid, biotin and choline.National Academy Press; Washington, DC, USA: 1998. Institute of Medicine, Vitamin B12; pp. 306–356. [PubMed]
Glass GB, Skeggs HR, Lee DH, et al. Applicability of hydroxocobalamin as a long-acting vitamin B12. Nature 1961;189:138-140.
Gaby MD, Alan. Vitamin B12: which routes of administration and which forms are best? The Townsend Letter Group, May 22, 2015. [The Free Library]