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The FDA cited three concerns: potential immunogenicity (the peptide could trigger immune reactions), manufacturing impurity risks (synthetic peptides can contain truncated sequences and other contaminants), and a lack of human safety data sufficient to evaluate risk

Blood tests help confirm deficiency, monitor the effectiveness of injections, and prevent unnecessary overuse

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This may be because the ability to absorb vitamin B12 effectively Other factors Risk factors for having a vitamin B12 deficiency may include: high alcohol intake AIDS some inherited conditions How much vitamin B12 do I need