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You have 4.5mg, plus 0.5mg of unknown substances that could confound your results

[1] Other rare side effects noted (mostly in older literature or high-dose use) include: polycythemia vera and peripheral vascular thrombosis in patients receiving repeated injections (though these associations are not well understood, they were listed in prior product literature as possible adverse events)

Vitamin B12 is a water-soluble vitamin, also known as cobalamin

These may include intravenous (IV) administration for more acute conditions, liposomal formulations for better absorption, and even as an ingredient in specialized nutritional supplements

Alternatives depend on the clinical target