MIC+B12

Through Vivo. You complete an online medical intake and a licensed US provider reviews it. If the provider decides a prescription is appropriate, VialsRX, a licensed US 503A compounding pharmacy, prepares MIC+B12 for your individual prescription and ships it to you. Services are currently available in all 50 US states, subject to state regulation. Vivo Health LLC operates the platform and does not practice medicine or dispense medication.

At Vivo, MIC+B12 is $109 for the first month, then $119/month on the monthly plan (10 mL). On the quarterly plan (30 mL), $69 is the first month: $247 billed today for 3 months, then $267 every 3 months ($89/month). The price includes provider review, the compounded medication, injection supplies and shipping. Your card is charged only after a provider approves a prescription.

An online medical intake and provider review, a prescription if appropriate, compounded MIC+B12 (10 mL monthly or 30 mL quarterly), syringes and alcohol pads, free discreet 2-day shipping after your prescription is approved and filled, and ongoing access to your care team by message.

A licensed provider typically reviews your intake within 30 minutes to 1 hour on average. Times vary: some states require a live video or phone visit before a provider can prescribe, and a provider may ask you for more information. Orders typically ship within 1–2 business days of provider approval.

Methionine, inositol and choline. MIC+B12 adds vitamin B12.

Methylcobalamin, according to the current formulation. Your prescription label lists the exact ingredients.

Vitamin B12 is required for normal red blood cell formation, neurological function and DNA synthesis. A deficiency can cause megaloblastic anemia and symptoms including fatigue and weakness.

Both are forms of vitamin B12. Methylcobalamin is one of the forms the body uses directly; cyanocobalamin becomes active after the body converts it. Vivo doesn't claim that either form is clinically superior.

The term generally refers to compounds associated with aspects of lipid metabolism, transport or processing, and methionine, inositol and choline are often grouped under it. It describes a biological association, not an effect on body fat.

No. MIC+B12 should not be understood as a drug shown to burn body fat. Its ingredients take part in biological processes involving metabolism, but that is different from demonstrating clinically meaningful fat loss from the compounded formulation.

It isn't a weight-loss drug. Its ingredients have roles in metabolism, but that does not establish that compounded MIC+B12 causes clinically meaningful weight loss. It is not a substitute for nutrition, physical activity or evidence-based obesity treatment.

If you have a vitamin B12 deficiency, correcting it can address the fatigue and weakness that deficiency causes. That is different from adding B12 when you aren't deficient, and it doesn't establish that compounded MIC+B12 will increase how energetic you feel.

Fatigue has many possible causes, including sleep, nutrition, iron or B12 status, medications and underlying health conditions. Your provider should consider those causes rather than assume B12 is the answer.

Vivo doesn't claim it does. Choline takes part in lipid transport, a process in which the liver is central. That is nutrient biology. It does not establish that compounded MIC+B12 "detoxes" or otherwise changes the liver.

That requires individual evaluation by your provider, based on your health history, current medications, nutritional status and treatment plan. Don't add MIC+B12 to another prescription regimen without provider review.

No. MIC+B12 contains methionine, inositol and choline in addition to vitamin B12.

Exactly as the instructions that accompany your prescription direct. Your provider and the dispensing pharmacy give you prescription-specific instructions.

As prescribed. Don't change your dose or frequency without talking to your provider.

Follow the storage instructions on your pharmacy label exactly.

Yes. MIC+B12 is available by prescription only. Every order starts with an online medical intake and review by a licensed provider, who determines whether a prescription is clinically appropriate. Patients must be 18 or older and physically located in a state where services are available, both at intake and at each refill. Services are currently available in all 50 US states, subject to state regulation.

A card may be authorized at checkout and is charged only after a provider approves a prescription. If a licensed provider determines the medication is not clinically appropriate, no prescription is issued, no medication ships, and no charge is completed for that medication order.

Provider review is asynchronous by default, based on the written intake. Some states require a synchronous visit (live video or phone) before a provider can prescribe, and a provider may also request one if clinically indicated.

Prescriptions are issued by licensed providers. Medical leadership includes Dr. Sean Arora, M.D., and Dr. Shannon Arora, M.D. Prescriptions are prepared and shipped by a licensed US 503A compounding pharmacy. Vivo Health LLC operates the platform and does not practice medicine or dispense medication.

No. MIC+B12 is a compounded medication prepared by a licensed pharmacy for an individual prescription. Compounded medications are not FDA-approved drug products.