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The synthetic form of Vitamin B12, Cyanocobalamin, is often used in compounding pharmacies to formulate B12 injections

That can introduce variability such as: Mislabeling Contamination Inconsistent dosing Unknown impurities Side effects: what we can responsibly say Because robust human safety data are limited, it's hard to give a definitive side-effect profile with meaningful incidence rates

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Theres very few, if not only one, human trial that was a retrospective study, looking at knee pain, and they injected people with BPC-157