Price shown is per month for the plan length selected. Planned prices; the final amount is always shown at checkout before you pay.
Recurring plans renew automatically at the end of each plan length until you cancel; a single order does not renew. You can cancel anytime from the patient portal, with no cancellation fee. See the plan renewal terms.
The FDA does not review or approve compounded medications for safety, effectiveness or quality. Compounded methionine, inositol, choline and cyanocobalamin (vitamin B12) is not a generic version of, or equivalent to, any branded medication.
Packaging illustration. Your pharmacy label provides your prescribed directions; do not use this image for dosing.
No outcome is guaranteed. Individual results vary.
Longevity & Healthy AgingCompounded · Injection · Rx only
Lipo-B Injection (MIC + B12)
A nutrient blend, reviewed with care.
Lipo-B is a compounded injection that combines methionine, inositol and choline (often called MIC) with vitamin B12. It is prescribed online only if a licensed provider decides it is right for you, and is prepared by a state-licensed compounding pharmacy.
Your plan
$99/month
$297billed every 3 months
Plan lengths
$297billed every 3 monthsThree-month supply
Pay over timeSplit your plan into smaller payments at checkout.Available on the plans marked “Pay over time available”.
Affirm, Klarna and Afterpay are offered at checkout on the plans marked above. Subject to eligibility and approval by the payment provider; terms are shown before you pay.
B12 is the vitamin your nerves, brain and blood cells can't function without, and Lipo-B pairs it with nutrients involved in processing fat. Alongside diet and activity, it may help support:
Energy metabolism
B12 helps your body turn food into energy.
Liver support
Choline helps your liver package and move fat.
Healthy blood cells
B12 is needed to make red blood cells.
Nerve health
B12 supports normal brain and nerve function.
Pairs with your GLP-1 plan
Can be added alongside GLP-1 treatment if your provider decides it fits.
Mood & stress support
B12 helps your body make the brain chemicals involved in mood and stress response.
Individual results vary. Benefits are not guaranteed and depend on your provider's evaluation and your plan. Evidence for wellness uses is limited.
Understanding Lipo-B (MIC + B12)
What to know first.
Regulatory status
Not FDA-approved for any use. No lipotropic (MIC) injection, with or without vitamin B12, is FDA-approved for weight loss or any other use. Cyanocobalamin (vitamin B12) injection on its own is FDA-approved for vitamin B12 deficiency caused by poor absorption, such as pernicious anemia; that approval applies to the single-ingredient product, not to this compounded blend. A licensed provider reviews your health history, current medicines and goals, explains what is and is not known, and decides whether it may be appropriate for you.
How it works
Lipo-B combines compounds the body uses in normal metabolism: methionine, an essential amino acid the body uses to make S-adenosylmethionine, a compound that donates methyl groups in many chemical reactions; inositol, which takes part in cell signaling; choline, which the body needs to build cell membranes and to make acetylcholine, a chemical messenger in the nervous system, and which helps carry fats out of the liver; and vitamin B12, which the body needs for healthy red blood cells, nerve function and DNA synthesis. The name "lipotropic" refers to the role some of these nutrients play in how the liver handles fats; it is not a promise of any effect on weight. Evidence that lipotropic injections help with weight or energy is limited, the combination has not been reviewed by the FDA, and results vary. Your provider explains what is and is not known.
Who it may be for
A provider may consider Lipo-B for some adults after reviewing their health history, current medicines and goals. It is not for anyone allergic to cobalt, vitamin B12 or any ingredient in the preparation, and people with Leber's disease (a hereditary optic nerve condition) need special caution; its safety during pregnancy and breastfeeding has not been established through FDA review. Your provider decides.
How it works
Three steps, all online.
01
Complete your online visit
Answer questions about your health history, medications and goals. Submitting a visit does not guarantee a prescription.
02
A licensed provider reviews
A provider licensed in your state decides whether treatment is appropriate for you, or recommends a different path.
03
If prescribed, delivered
A licensed pharmacy dispenses your medication and ships it to your door. Follow-up continues through the patient portal.
Plans & prices
Lipo-B (MIC + B12) price by plan.
Prices in US dollars. Self-pay; insurance is not required.
Plan length
Per month
Billed at checkout
Supply
Single order
$159 once
$159 single payment, no renewal
One-month supply
Monthly
$159/mo
$159 billed every month
One-month supply
3 months
$99/mo
$297 billed every 3 months
Three-month supply
6 months
$79/mo
$474 billed every 6 months
Six-month supply
Planned prices; the final amount is always shown at checkout before you pay. See the Terms of Service and Refund Policy.
Lipo-B is a compounded injection that combines methionine, inositol and choline, often called MIC, with cyanocobalamin (vitamin B12). The body uses each of these in normal metabolism. Lipo-B is prepared for an individual patient by a state-licensed pharmacy and is prescribed only if a licensed provider decides it is appropriate. The exact ingredients are listed on the pharmacy label.
Is Lipo-B FDA-approved?
No. No lipotropic (MIC) injection is FDA-approved for weight loss or any other use. Cyanocobalamin injection on its own is FDA-approved for vitamin B12 deficiency caused by poor absorption, but that approval does not extend to this compounded blend. The FDA does not review compounded drugs for safety, effectiveness or quality, and Lipo-B is not a generic version of, or equivalent to, any branded medication.
Will Lipo-B help with weight or energy?
No outcome is promised. Evidence that lipotropic injections help with weight or energy is limited, and the combination has not been reviewed by the FDA. The NIH Office of Dietary Supplements notes that vitamin B12 does not appear to improve performance or endurance in people who already have enough of it. Your provider explains what is and is not known, and results vary.
Is Lipo-B a treatment for vitamin B12 deficiency?
No. Lipo-B is not FDA-approved to treat vitamin B12 deficiency. FDA-approved cyanocobalamin injection is the product approved for B12 deficiency caused by poor absorption, and a provider confirms a deficiency with blood tests. The label for cyanocobalamin injection warns that giving B12 without a clear diagnosis can hide the true cause of anemia. Tell your provider about any anemia, B12 or folate problem.
What side effects are possible?
The side effects of the combined injection have not been well studied, and the FDA has not reviewed its safety. For vitamin B12 injection, the FDA label reports mild, short-lived diarrhea, itching, a temporary rash and, rarely, serious allergic reactions. High intakes of choline have been linked to a fishy body odor, vomiting, sweating and low blood pressure. Report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In an emergency, call 911.
How is Lipo-B given, and who sets the dose?
If a provider prescribes it, Lipo-B is given as an injection into a muscle. Your provider sets the dose and how often to use it, and the pharmacy label gives your directions. This page does not give dosing information. Never share needles or vials, and follow the pharmacy's storage and disposal instructions.
Does completing an online visit mean I will be prescribed Lipo-B?
No. Completing an online visit or paying does not mean a prescription will be issued. A licensed provider reviews your health history, medicines and goals and decides whether Lipo-B, another option or no treatment is right for you. If it is not appropriate, you will be told why. Not everyone qualifies.
Important Safety Information — Lipo-B Injection (MIC + B12)
Compounded drug notice
Compounded Lipo-B is prepared for an individual patient by a state-licensed pharmacy under a prescription from a licensed provider. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Compounded Lipo-B is not a generic version of, or equivalent to, any branded medication. Prescription required. Not everyone qualifies. Individual results vary.
Regulatory status
Not FDA-approved for any use. No lipotropic (MIC) injection, with or without vitamin B12, is FDA-approved for weight loss or any other use. Cyanocobalamin (vitamin B12) injection on its own is FDA-approved for vitamin B12 deficiency caused by poor absorption, such as pernicious anemia; that approval applies to the single-ingredient product, not to this compounded blend. A licensed provider reviews your health history, current medicines and goals, explains what is and is not known, and decides whether it may be appropriate for you.
Do not use if
You are sensitive (allergic) to cobalt or vitamin B12
You are allergic to methionine, inositol, choline or any other ingredient in the compounded preparation
Before starting, tell your provider if
You have Leber's disease (hereditary optic nerve atrophy)
You have been diagnosed with, or may have, anemia or a vitamin B12 or folate deficiency
You have heart or lung problems
You take folic acid or any other vitamins or supplements
You take antibiotics, methotrexate or pyrimethamine (which can affect B12 and folate blood tests), or colchicine or para-aminosalicylic acid (which can reduce B12 absorption)
You drink alcohol heavily (heavy drinking can reduce B12 absorption)
You have had an allergic reaction to any medicine
You are pregnant, plan to become pregnant or are breastfeeding
Serious side effects — get medical help right away
Serious allergic reactions (anaphylaxis). Anaphylactic shock and death have been reported after vitamin B12 injections. Stop using Lipo-B and get emergency help (call 911) for swelling of the face, lips, tongue or throat, trouble breathing or swallowing, or a widespread rash or hives.
Optic nerve damage in Leber's disease. People with early Leber's disease (hereditary optic nerve atrophy) who were treated with cyanocobalamin have had severe and rapid optic nerve damage.
Low blood potassium (hypokalemia). Low potassium and sudden death may occur when severe megaloblastic anemia is treated intensively with vitamin B12. Tell your provider if you have been diagnosed with anemia.
Heart and blood-vessel problems. Fluid in the lungs (pulmonary edema) and congestive heart failure early in treatment, and blood clots in the arms or legs (peripheral vascular thrombosis), have been reported with vitamin B12 injection. Tell your provider right away about any new breathing problem or swelling; in an emergency, call 911.
Increase in red blood cells. Polycythemia vera, a condition with too many red blood cells, has been reported with vitamin B12 injection.
Common side effects
Common side effects: the side effects of the combined Lipo-B injection have not been well studied, and the FDA has not reviewed its safety. For vitamin B12 injection, the FDA label reports mild, short-lived diarrhea, itching, a temporary rash and a feeling of swelling of the whole body. High intakes of choline have been linked to a fishy body odor, vomiting, excessive sweating and salivation, low blood pressure and liver problems. Tell your provider about any reaction where the injection is given, or any new symptom. These are not all the possible side effects.
You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Pregnancy and breastfeeding
Vitamin B12 needs increase during pregnancy, but adequate and well-controlled studies of cyanocobalamin injection in pregnant women have not been done, and vitamin B12 passes into breast milk. There is no FDA-reviewed information on the combined Lipo-B injection during pregnancy or breastfeeding. Tell your provider if you are pregnant, plan to become pregnant or are breastfeeding.
Lipo-B is not FDA-approved to treat vitamin B12 deficiency. According to the label for cyanocobalamin injection, giving vitamin B12 without a clear diagnosis can hide the true cause of anemia, and folic acid is not a substitute for vitamin B12. If a deficiency is suspected, your provider confirms it with blood tests.
Prescription only. Lipo-B (MIC + B12) is available only after an online visit with a licensed provider, who determines whether treatment is appropriate for you. This summary does not replace the full prescribing information. Not medical advice. Results may vary.
Forever Health Rx does not provide emergency medical care. Call 911 or go to the nearest emergency department if you are experiencing a medical emergency. For urgent questions about a serious side effect, message your care team through the patient portal and seek in-person care if symptoms are severe.
Your next step
Start with a free online visit.
About ten minutes. A licensed provider reviews your information and decides whether treatment is right for you.
Have a question before you start? Call our support team:
Prescription required. Eligibility is determined by a licensed provider. Not medical advice. Results may vary.
Important safety & regulatory information
Please read before you start.
Forever Health Rx is a healthcare technology platform operated by . Forever Health Rx is not a pharmacy and does not practice medicine. Medical services are provided by independent, state-licensed healthcare providers of , who exercise their own clinical judgment. Prescriptions are issued only after a provider reviews your information and determines that treatment is appropriate for you. Not everyone qualifies, and no treatment, outcome or eligibility is guaranteed.
Some medications referenced on this site are compounded preparations prepared by U.S. pharmacies licensed in the state where they dispense. Compounded drugs are not approved by the FDA and are not evaluated by the FDA for safety, effectiveness or quality. They are not generic versions of, or equivalent to, any branded medication. Other medications referenced are FDA-approved products, described only for their FDA-approved uses unless a page states that a use is off-label. Brand names are trademarks of their respective owners; Forever Health Rx is not affiliated with them.
Every prescription medication carries risks. Product-specific warnings, contraindications and side effects are listed in the safety information on each treatment page; discuss your full medical history and every medication you take with your provider. Treatments shown as coming soon are not yet available for purchase, and their prices may be estimates.
This website does not provide medical advice and is not a substitute for consultation with a qualified clinician. In an emergency, call 911. To report a side effect, contact your provider through the patient portal or the FDA MedWatch program at 1-800-FDA-1088.
Weight figures, timelines and projections shown anywhere on this site are illustrative and drawn from published clinical literature, not from Forever Health Rx patient outcomes. Individual results vary.
Your provider confirms the plan and its cost after review. Payment collected at checkout is refunded in full if a prescription is not issued, and nothing is dispensed. The final amount is always shown at checkout before you authorize payment.
This website collects no protected health information; your online visit, prescriptions and messages take place inside the secure patient portal, covered by our HIPAA Privacy Policy.
People pictured on this site are illustrative images, not Forever Health Rx patients. They do not describe anyone's treatment experience and do not depict the results of any medication. Product images are illustrative; actual packaging may vary.
