My GP marked on my records that I must NOT be prescribed Neo-Cytamen at all and gave a new prescription of Hydroxocobolamin which I have since taken without any ill effects
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Compounded drug products are not FDA-approved, and the FDA does not evaluate their safety, effectiveness, or quality
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This includes not only the potential (though slow) degradation of the benzyl alcohol itself but also any potential interactions with the peptide you've reconstituted in the water
Toxicological seizures (e.g., cocaine, lidocaine)