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Do not use for multiple patients or keep open vials

doi: 10.1016/j.yhbeh.2006.06.028

[37] Potential side effects of lipotropic injections include: Pain or soreness at the site of injection Diarrhea Constipation Anxiety Increased heart rate Incontinence Insomnia Dry mouth Fatigue Numbness of hands and feet This is not a comprehensive list of adverse effects

In a study of 10 healthy male volunteers, omeprazole, in doses of 20 mg-40 mg per day, caused a significant decrease in the oral absorption of methylcobalamin, vitamin B12

And sev 70 percent of the United States population doesnt have sufficient levels which is, uh, defined by the Endocrine Society as 30 nanograms or 30 nanograms per milliliter or more

They are not subject to the same purity standards, sterility requirements, or quality controls that apply to medications intended for human administration