It looks as though the new owners of Panpharma are now concentrating on selling by repackaging their B12 for local sales. In UK its Accord Healthcare. This is probably why we cannot get it from German pharmacies. I cannot tolerate having my vital amine supplies threatened so I have looked elsewhere.
Hevert make a B12 depot that works. However its 1 microgram in 2 mls of fluid that I found to be slightly uncomfortable to inject. As its dated to be used by 06/2025 I have it held back for emergencies in the top of my fridge door.
Pasco make 1 ml ampoules that have 1.5 micrograms of hydroxocobalamin acetate and described as a depot which means its exactly the same as that sold by Panpharma - just a bigger dose.
EOD IM of Panpharma gave me an average of 0.5 micrograms a day by 14 injections over 28 days.
Plan A. Injections of 1.5 microgram Pasco on Mon/Wed/Fri gives me an average of 0.64 micrograms a day by 12 injections over 28 days.
Plan B. Injections of 1.5 microgram Pasco on Mon & Fri gives an average of 0.43 micrograms a day by 8 injections over 28 days.
Plan C. An injection of 1.5 microgram Pasco on Mon gives an average of 0.05 micrograms a day by 4 injections over 28 days.
I have been using plan A and its worked fine and I shall move to plan B in a months time then hopefully onto plan C in the summer of 2023. The clear advantage is the reduction in the need to inject so frequency. That saves time and reduces the amount of scar tissue plus the cost and environmental impact of syringes and needles.