Package	Price	Per Item	Savings	Order
	Vitamin C 120 chewable pills x 500 mg	$42.71	$0.36	$0
	Vitamin C 180 chewable pills x 500 mg	$57.05	$0.32	$7
	Vitamin C 270 chewable pills x 500 mg	$76.27	$0.28	$21

Vitamin C
	Vitamin C is a vitamin that is necessary for normal growth and development.

Drug Name

Vitamin C

Drug Uses

Vitamin C is a vitamin that is necessary for normal growth and development.

How to use

Use Vitamin C as directed by your doctor.

• Take Vitamin C by mouth with or without food.
• Chew a pill before swallowing.

Ask your health care provider any questions you may have about how to use Vitamin C.

Drug Class and Mechanism

Vitamin C is required for the growth and repair of tissues in all parts of your body. It is necessary to form collagen, an important protein used to make skin, scar tissue, tendons, ligaments, and blood vessels. Vitamin C is essential for the healing of wounds, and for the repair and maintenance of cartilage, bones, and teeth.

The body cannot store vitamins. Leftover amounts of the vitamins leave the body through the urine. That means you need a continuous supply of such vitamins in your diet.

A severe form of vitamin C deficiency is known as scurvy, which mainly affects older, malnourished adults.

Missed Dose

If you miss a dose of Vitamin C and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store Vitamin C at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Vitamin C out of the reach of children and away from pets.

Warnings/Precautions

Taking megadoses of vitamin C may lead to kidney damage, diarrhea, iron overload and accelerated atherosclerosis (hardening of the arteries). It increases the risk of kidney stones in some people. If stopped abruptly, it may result in rebound scurvy (vitamin C deficiency). Doses between 2000 and 5000 mg per day may have anti-coagulant properties, making it difficult for people to stop bleeding.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• Dry and splitting hair; gingivitis (inflammation of the gums); bleeding gums; rough, dry, scaly skin; decreased wound-healing rate; easy bruising; nosebleeds; weakened tooth enamel; swollen and painful joints; anemia; decreased ability to fight infection; possible weight gain because of slowed metabolism.

More Information

Vitamin C is used therapeutically in huge doses from 100 to 10,000 mg a day. In acute poisoning or infections, 1,000 to 2,000 mg, preferably in injection form, can be administered every one and a half or two hours.

Vitamin C
		Vitamin C 120 chewable pills x 500 mg	$42.71
		Vitamin C 180 chewable pills x 500 mg	$57.05
		Vitamin C 270 chewable pills x 500 mg	$76.27

	Package	Price	Per Item	Savings	Order
	Vitamin B-1 120 pills x 100 mg	$42.71	$0.36	$0
	Vitamin B-1 180 pills x 100 mg	$57.05	$0.32	$7
	Vitamin B-1 270 pills x 100 mg	$76.27	$0.28	$21

Vitamin B-1
	Vitamin B-1 is essential for the body to be able to use carbohydrate as an energy source as well as for metabolising amino acids.

Drug Name

Vitamin B-1

Drug Uses

Vitamin B-1 is a water soluble vitamin that readily enters and exits the body daily so it must be taken internally on a daily basis.

Vitamin B-1is helps maintain a normal metabolism and helps burn carbohydrates. Vitamin B-1is a group of water-soluble vitamins that participates in many of the chemical reactions in the body. It is also called thiamine, thiamin and aneurin.

Vitamin B-1is plays an essential role as a cofactor in key reactions in carbohydrate metabolism. It is also involved in the metabolism of branched-chain amino acids and may have non-coenzyme (non-cofactor) roles in excitable cells.

How to use

Use Vitamin B-1 as directed by your doctor.

• Take Vitamin B-1 by mouth with or without food.

Ask your health care provider any questions you may have about how to Vitamin B-1.

Drug Class and Mechanism

Vitamin B-1 is essential for the body to be able to use carbohydrate as an energy source as well as for metabolising amino acids. A person’s requirements for Vitamin B-1 are increased when they are relying heavily on carbohydrates for their main source of energy. In humans, Vitamin B-1 can be synthesized in the large intestine as thiamin pyrophosphate (TPP). The main circulating form of Vitamin B-1 is thiamine diphosphate (TDP) which is found almost completely in red blood cells. TPP is too large a molecule to be absorbed across the intestinal mucosa. It requires the use of an enzyme to cleave the smaller thiamin molecule out of the compound. TDP is a cofactor for several enzymes - pyruvate dehydrogenase and transketolase (activity is sometimes measured as an indicator of vitamin B1 deficiency) and thiamine triphosphate is thought to be important in nerve conduction.

Vitamin B-1 is needed to process carbohydrates, fat, and protein. Every cell of the body requires Vitamin B-1 to form the fuel the body runs on - ATP. Nerve cells require vitamin B1 in order to function normally. Vitamin B-1 assists in blood formation, carbohydrate metabolism, and the production of hydrochloric acid, which is important for proper digestion.

Vitamin B-1 also enhances circulation and optimizes cognitive activity and brain function. Vitamin B-1 has a positive effect on energy, growth, normal appetite, and learning capacity, and is needed for muscle tone of the intestines, stomach, and heart. Vitamin B-1 acts as an antioxidant, protecting the body from generative effects of aging, alcohol consumption, and smoking. May improve glucose tolerance and retard arterial blockages, especially in diabetics.

Missed Dose

If you miss a dose of Vitamin B-1 and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store Vitamin B-1 at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Vitamin B-1out of the reach of children and away from pets

Warnings/Precautions

Vitamin B-1 is a water-soluble vitamin and as such, it is least likely to reach toxic levels. There is little danger of thiamin toxicity when it is taken orally. However, there is an exception. When Vitamin B-1 is taken intravenously (injections), it has been reported to cause anaphylactic shock in few people.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• Dry and splitting hair; gingivitis (inflammation of the gums); bleeding gums; rough, dry, scaly skin; decreased wound-healing rate; easy bruising; nosebleeds; weakened tooth enamel; swollen and painful joints; anemia; decreased ability to fight infection; possible weight gain because of slowed metabolism.

More Information

Vitamin B-1 has an important function in nerve membranes and in nerve conduction, although the mechanism is unclear. Vitamin B-1 has a specific role in neurophysiology separate from its co-enzyme function. It works at the nerve cell membrane to allow displacement so that sodium ions can freely cross the membrane.

Vitamin B-1
		Vitamin B-1 120 pills x 100 mg	$42.71
		Vitamin B-1 180 pills x 100 mg	$57.05
		Vitamin B-1 270 pills x 100 mg	$76.27

	Package	Price	Per Item	Savings	Order
	Vitamin B-6 120 pills x 100 mg	$68.34	$0.57	$0
	Vitamin B-6 180 pills x 100 mg	$91.28	$0.51	$12
	Vitamin B-6 270 pills x 100 mg	$122.04	$0.45	$33
	Vitamin B-6 120 pills x 40 mg	$39.86	$0.33	$0
	Vitamin B-6 180 pills x 40 mg	$53.94	$0.3	$6
	Vitamin B-6 270 pills x 40 mg	$73.22	$0.27	$17

Vitamin B-6
	Vitamin B-6 is indicated for the treatment of sideroblast anemia, neurologic disturbances, seborrhoeic dermatitis, and cheilosis.

Drug Name

Vitamin B-6

Drug Uses

Vitamin B-6, also called pyridoxine, is one of eight water-soluble B vitamins. Vitamin B6 (pyridoxine) serves as coenzyme and is involved in the metabolism of protein and carbohydrates, the production of insulin and red and white blood cells, and the synthesis of neurotransmitters, enzymes, and prostaglandins. Vitamin B-6 is essential in numerous biochemical pathways involving red blood cells, the immune system, central nervous system function, protein metabolism, homocysteine metabolism, and also the production of energy.

Pyridoxine is an especially important vitamin for maintaining healthy nerve and muscle cells and it aids in the production of DNA and RNA, the body’s genetic material. It is necessary for proper absorption of vitamin B-12 and for the production of red blood cells and cells of the immune system.

How to use

Use Vitamin B-6 as directed by your doctor.

• Take Vitamin B-6 by mouth with or without food.

Ask your health care provider any questions you may have about how to Vitamin B-6.

Drug Class and Mechanism

Vitamin B-6 is indicated for the treatment of sideroblast anemia, neurologic disturbances, seborrhoeic dermatitis, and cheilosis. In combination with folic acid and Vitamin B-12, Vitamin B-6 lowers homocysteine levels which is an amino acid linked to heart disease and stroke, and possibly other diseases as well, such as osteoporosis, and Alzheimer’s disease. Pyridoxine is required for the balancing of hormonal changes in women as well as assisting the immune system and the growth of new cells.

Vitamin B-6 may be helpful in some women with premenstrual dysphoric disorder, also known as premenstrual syndrome (PMS), and may be useful in some cases of gestational diabetes and for protection against metabolic imbalances associated with the use of some oral contraceptives. Vitamin B-6 promotes iron excretion and this has been used as a rationale for treatment in iron storage diseases.

Missed Dose

If you miss a dose of Vitamin B-6 and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store Vitamin B-6 at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Vitamin B-6 out of the reach of children and away from pets.

Warnings/Precautions

Vitamin B-6 is usually safe, at intakes up to 200 mg per day in adults. However, Vitamin B-6 can cause neurological disorders, such as loss of sensation in legs and imbalance, when taken in high doses (200 mg or more per day) over a long period of time. Vitamin B-6 toxicity can damage sensory nerves, leading to numbness in the hands and feet as well as difficulty walking. Symptoms of a pyridoxine overdose may include poor coordination, staggering, numbness, decreased sensation to touch, temperature, and vibration; and tiredness for up to six months.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:
Dry and splitting hair; gingivitis (inflammation of the gums); bleeding gums; rough, dry, scaly skin; decreased wound-healing rate; easy bruising; nosebleeds; weakened tooth enamel; swollen and painful joints; anemia; decreased ability to fight infection; possible weight gain because of slowed metabolism.

More Information

Vitamin B6 is a water-soluble compound that was discovered in the 1930s during nutrition studies on rats. The vitamin was named pyridoxine to indicate its structural homology to pyridine. Later it was shown that vitamin B6 could exist in two other, slightly different, chemical forms, termed pyridoxal and pyridoxamine. All three forms of vitamin B6 are precursors of an activated compound known as pyridoxal 5 -phosphate (PLP), which plays a vital role as the cofactor of a large number of essential enzymes in the human body.

Enzymes dependent on PLP focus a wide variety of chemical reactions mainly involving amino acids. The reactions carried out by the PLP-dependent enzymes that act on amino acids include transfer of the amino group, decarboxylation, racemization, and beta- or gamma-elimination or replacement. Such versatility arises from the ability of PLP to covalently bind the substrate, and then to act as an electrophilic catalyst, thereby stabilizing different types of carbanionic reaction intermediates.

Vitamin B-6
		Vitamin B-6 120 pills x 100 mg	$68.34
		Vitamin B-6 180 pills x 100 mg	$91.28
		Vitamin B-6 270 pills x 100 mg	$122.04
		Vitamin B-6 120 pills x 40 mg	$39.86
		Vitamin B-6 180 pills x 40 mg	$53.94
		Vitamin B-6 270 pills x 40 mg	$73.22

	Package	Price	Per Item	Savings	Order
	Vitamin B-12 120 pills x 0.25 mg	$51.25	$0.43	$0
	Vitamin B-12 180 pills x 0.25 mg	$68.46	$0.38	$9
	Vitamin B-12 270 pills x 0.25 mg	$91.53	$0.34	$24

Vitamin B-12
	Vitamin B-12's main functions are in the formation of red blood cells and the maintenance of a healthy nervous system.

Drug Name

Vitamin B-12

Drug Uses

Vitamin B-12 is a water-soluble vitamin that is stored in the liver. Vitamin B-12 is a collective term for a group of cobalt-containing compounds known as corrinoids. The principal cobalamins are cyanocobalamin, hydroxocobalamin and the two coenzyme forms of Vitamin B-12, methylcobalamin and 5-deoxyadenosylcobalamin (adenosylcobalamin). Cyanocobalamin is the principal form of the vitamin used for fortification of foods and in nutritional supplements. Vitamin B-12 is also called cobalamin because it contains the metal cobalt. Vitamin B-12 is bound to the protein in food. Hydrochloric acid in the stomach releases B-12 from proteins in foods during digestion. Hydroxocobalamin is a man-made form of Vitamin B-12. The advantage using hydroxocobalamin is the lack of adverse effects seen with the nitrites such as methemoglobinemia and hypotension. It works by exchanging the hydroxy group for cyanide to form the non-toxic cyanocobalamin (Vitamin B-12).

How to use

Use Vitamin B-12 as directed by your doctor.

• Take Vitamin B-12 by mouth with or without food.

Ask your health care provider any questions you may have about how to Vitamin B-12.

Drug Class and Mechanism

Vitamin B-12’s main functions are in the formation of red blood cells and the maintenence of a healthy nervous system. Vitamin B-12 is an especially important vitamin for maintaining healthy nerve cells and it aids in the production of DNA and RNA, the body’s genetic material. Cyanocobalamin works to promote normal growth and development, helps with certain types of nerve damage, and treats pernicious anemia. Vitamin B-12 helps in the formation of red blood cells and in the maintenance of the central nervous system. Nerves are surrounded by an insulating fatty sheath comprised of a complex protein called myelin. B12 plays a vital role in the metabolism of fatty acids essential for the maintenance of myelin. Prolonged B12 deficiency can lead to nerve degeneration and irreversible neurological damage.

Vitamin B-12 is essential for the proper production of blood platelets and red and white blood cells, the manufacture of vital substances needed for cell function, and the metabolism of nutrients necessary for cell growth. It participates in a variety of cellular reactions to release energy from carbohydrates, fats and protein. Vitamin B-12 helps maintain the myelin sheath that insulates nerve fibers from each other. People with Vitamin B-12 deficiency show irregular destruction of the myelin sheaths, which eventually causes paralysis and death. Vitamin B-12 levels decrease with age and various measures of cognitive impairment are associated with reduced B-12 status. The most important use of Vitamin B-12 is to treat the symptoms of pernicious anemia. Vitamin B9 (folate) and vitamin B12 are critical to the health of the nervous system and to a process that clears homocysteine from the blood. Vitamins B-12, B-6, and B-9 (folate) work closely together to control blood levels of the amino acid homocysteine. Elevated plasma homocysteine concentrations are considered to be a risk factor for vascular disease and birth defects such as neural tube defects.

Missed Dose

If you miss a dose of Vitamin B-12 and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store Vitamin B-12 at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Vitamin B-12 out of the reach of children and away from pets

Warnings/Precautions

Vitamin B-12 is considered safe and non-toxic. No toxic or adverse effects have been associated with large intakes of vitamin B12 from food or supplements in healthy people.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• Dry and splitting hair; gingivitis (inflammation of the gums); bleeding gums; rough, dry, scaly skin; decreased wound-healing rate; easy bruising; nosebleeds; weakened tooth enamel; swollen and painful joints; anemia; decreased ability to fight infection; possible weight gain because of slowed metabolism.

More Information

Vitamin B-12 deficiency occurs when there is an abnormally low level of Vitamin B-12 absorbed in the body. The absorption of dietary Vitamin B-12 occurs in the small intestine and requires a secretion from the stomach known as intrinsic factor. If intrinsic factor is deficient, absorption of Vitamin B-12 is severely diminished. Vitamin B-12 deficiency can be a factor in a variety of different health conditions and disorders. B12 deficiency inhibits of severy decrease the bodies ability to produce blood, increases blood cell destruction, and is very harmful to the nervous system. Characteristic signs of B-12 deficiency include fatigue, weakness, nausea, constipation, flatulence (gas), loss of appetite, and weight loss. Symptoms of severe Vitamin B-12 deficiency (regardless of the cause) may include burning of the tongue, fatigue, weakness, loss of appetite, intermittent constipation and diarrhea, abdominal pain, weight loss, menstrual symptoms, psychological symptoms, and nervous system problems, such as numbness and tingling in the feet and hands.

Vitamin B-12
		Vitamin B-12 120 pills x 0.25 mg	$51.25
		Vitamin B-12 180 pills x 0.25 mg	$68.46
		Vitamin B-12 270 pills x 0.25 mg	$91.53