It is not on the 503B outsourcing-facility list and has no USP/NF monograph, so it cannot legally be compounded by US pharmacies for human use
A qualified healthcare professional can properly diagnose a deficiency, rule out other causes of fatigue, and recommend the most appropriate form and dosage of B12, or indeed, direct you towards different treatments entirely
Role of serum holotranscobalamin (holoTC) in the diagnosis of patients with low serum cobalamin
Supports cellular repair, brain function, and energy metabolism while promoting longevity and reducing fatigue
After that step has been completed pull up vitamins into the syringe until all desired amount has been reached then prime the needle by pushing the medication towards the tip prior to injection site cleaning (this step is essential for accurate dosage)
intramuscular injection is possible for smaller volumes