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Generic oral B12 is inexpensive (often just a few dollars/month)

Ethics declarations Competing interests SJW is the founder of Ridgeline Therapeutics, HN is a paid employee of Ridgeline Therapeutics and, since manuscript submission, ADW has also become a paid employee of Ridgeline Therapeutics

Results vary, but many patients notice gradual improvements when the peptide is combined with healthy eating and regular physical activity

Importantly, lipotropic combination injections are generally unlicensed in the UK and, if used, must be supplied as MHRA-regulated 'specials' on prescription from licensed manufacturers or importers

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