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Whilst vitamin B12 toxicity is exceptionally rare due to its water-soluble nature, very high levelsparticularly from mega-dose supplements or frequent injectionshave been associated with certain adverse effects, most notably skin reactions
For some people, the most noticeable change is not dramatic appetite suppression but a quieter relationship with food
Nasal spray formulation is also available
FDA approval is expected in 2028 or beyond
Ahmed MM et al
Use the PepPal calculator before mixing so the final concentration and syringe units are accurate
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