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IM injections are the standard for rapidly restoring B12 levels, particularly in severe cases and patients with absorption issues
Some studies suggest the peptide may remain viable beyond that window, but 28 days is the conservative standard most protocols follow
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Risks include nausea, cardiovascular effects, priapism (prolonged erection requiring emergency care), skin changes, and unknown long-term effects
10.5009/gnl18490 60 SikiricP.RucmanR.TurkovicB.SeverM.KlicekR.RadicB.et al (2018)
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