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Potential risks include: Infection risk if injections are administered in non-clinical settings without appropriate sterile technique Allergic reactions to any component of the formulation Liver toxicity theoretical concern with excessive methionine or choline Drug interactions particularly if combined with other supplements or medications Unknown long-term effects due to absence of longitudinal safety data The MHRA advises caution with unlicensed injectable products, as quality, purity, and sterility cannot be guaranteed

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For compounders who had shunned the GLP-1 space due to its legal risk and to those who are seeing their business in that area dwindle, peptides are the obvious answer

Malabsorption Issues: Conditions like Crohn's disease, celiac disease, or previous gastric surgery can interfere with B12 absorption from food

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