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Physicians should approach this subject with empathy

Using an expired product, even if sealed, introduces an unnecessary variable and risk into your research.

Requirements of vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation

But the mechanism behind that number is rarely explained

The absence of serious adverse events, treatment-related withdrawals, IGF-1 elevation, glucose metabolism impairment, or immunogenic responses represents a favorable safety foundation