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doi: 10.1158/1055-9965.EPI-05-0303

It remains classified as an investigational peptide rather than an approved medicine
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It is important to distinguish between evidence-based B12 replacement therapywhich is well-established for treating documented deficiencyand the use of lipotropic combinations, which lack robust clinical validation

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I never had this before A rheumatologist should be including in follow up of adverse side effects after the last shot and every month after for 6 months or so

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