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Whilst B12 injections (hydroxocobalamin) are licensed NHS medicines for treating confirmed deficiency states such as pernicious anaemia, lipotropic injections lack MHRA marketing authorisation and robust clinical evidence

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Patients with active cancer (any malignancy) must not use sermorelin, since increasing growth factors could potentially stimulate tumor growth

[2] By preventing bacterial proliferation, bacteriostatic water remains usable for multiple injections from the same vial when handled with proper aseptic technique

The body can only absorb approximately 1.5 g per dose through the intrinsic factor mechanism, which is why higher doses rely on passive diffusion for additional absorption