Until he received his first B12 injection
Injecting a forceful stream of water directly onto the lyophilized powder can physically damage the delicate peptide structure through shearing forces
The Short Answer No

LIKELY EFFECTIVE Athletic/Physical performance Energy uses / Mitochondrial support Weight/fat loss Diabetes glucose and insulin sensitivity Diabetic neuropathy Cholesterol/lipid Nonalcoholic fatty liver disease (NAFLD) Cardiovascular support Hematologic oncologic/ Chemotherapy support Ophthalmic support Reproductive/fertility support Womens health PCOS Dermatologic support BENEFIT UNCLEAR/LIMITED EVIDENCE Diabetic nephropathy Diabetic retinopathy Immunity support/ antimicrobial properties Autoimmune conditions Neurologic support Musculoskeletal Burning Mouth Syndrome Neurovascular Migraine OTHER USES Endocrine ( insulin sensitivity ) Anti-aging ( antioxidant ), Neurotransmitter Support ( mental clarity, brain fog ) Immune Support ( liver detoxification, replenishes glutathione levels ), Energy ( mitochondria function), Metabolism ( weight loss ) Chelates mercury, arsenic and cadmium, Hepatitis Hepatitis C, HIV, Myopathy, Radiation damage, Vitiligo, Taste disorders, Prevention and treatment of mushroom poisoning ( amanita phalloides ), Burning mouth syndrome Possible Benefits Endocrine support : ALA mimics insulin, which both improves glucose metabolism and insulin sensitivity

10.1186/s12964-023-01108-1 60 WangY.ZhengL.ShangW.YangZ.LiT.LiuF.et al (2022)
Over a few weeks to a few months, customers often report changes in skin texture, hair and nail strength, and how their joints feel day-to-day