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The research use version goes for roughly a fifth of that and is still enormously profitable, because bringing a real drug through trials to FDA approval is often estimated in the hundreds of millions of dollars, and by some counts well over a billion once you count the failures

These discussions are supported by the signals of early research, and there is little direct clinical evidence

doi: 10.1038/s41573-023-00750-1 21 MiseryLPierreOLe Gall-IanottoCLebonvalletNChernyshovPVLe GarrecRet al

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Adverse Reactions/Side Effects Generalized: Anaphylactic shock and death have been reported with administration of parenteral vitamin B 12 (see WARNINGS)