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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

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Safety depends on the specific peptide, dosage, treatment goal, medical history, and whether the peptide is FDA-approved, used off-label, or investigational

Avoid administration during or immediately after intense exercise

[DOI] [PubMed] [Google Scholar] 49.Hertzel AV, Smith LA, Berg AH, Cline GW, Shulman GI, et al