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Once transitioned into a liquid state, the peptide solution becomes highly sensitive to thermal breakdown and mechanical stress
Up to 350 mg per day from supplements appears safe, though exceeding this may cause diarrhea
It functions as a triple monoamine reuptake inhibitor, affecting serotonin, norepinephrine, and dopamine neurotransmission in the brain
Treatment may involve oral high-dose B12 tablets or intramuscular hydroxocobalamin injections , depending on the underlying cause (see the following section for dosing detail)