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This is one reason some patients report inconsistent results after switching pharmacies or even between refills from the same pharmacy

However, allergic reactions to B12 shots are extremely rare

Combined dosing increases total peptide load and may alter the risk profile, particularly regarding interactions with other therapies

doi: 10.1176/appi.neuropsych.11020052 Pubmed Abstract CrossRef Google Scholar View reference in article 73 ObeidRHeilSGVerhoevenMMAvan den HeuvelEGHMde GrootLCPGMEussenSJPM
