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Description
Severe side effects are rare but include anaphylaxis (especially in those allergic to cobalt or B)

Others include it by default

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However, due to various issues, the pituitary gland might not be able to produce enough of the hormone to allow normal development during puberty

Individuals with pernicious anemia, characterized by a lack of intrinsic factor, are also particularly susceptible

Mechanism summary sourced from pep-pedia.org and the published peptide research literature
