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High-dose injectable Cyanocobalamin, used for treating severe deficiencies like pernicious anemia, typically requires a prescription from a doctor

The FDAs current safety page continues to cite concerns about immunogenicity, peptide impurities and limited safety data, and the agency has stated that a substance may still pose significant safety risks

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However, improper administration can damage nerves, injure muscle tissue, introduce infection, or result in the medication being delivered to the wrong anatomical structure

IGF-1 (Somatomedin C): the primary marker of GH activity