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Many users report that subsequent cycles produce comparable or even enhanced results when proper off-periods are observed

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One sailed through safety trials but stumbled on efficacy

[11] Medical uses [edit] Vitamin B 12 deficiency Standard therapy for treatment of vitamin B 12 deficiency has been intramuscular (IM) or intravenous (IV) injections of hydroxocobalamin (OHCbl), since the majority of cases are due to malabsorption by the enteral route (gut)

Rare but serious risks include pancreatitis, gallbladder disease, acute kidney injury (secondary to dehydration from GI effects), and a theoretical thyroid C-cell tumor risk based on rodent data that has not been confirmed in human post-marketing surveillance