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Second, it is given SC, IM or orally weekly injections or daily capsules, titrated to serum cobalamin but not intravenously

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The toxicity models described earlier are also based on acute toxicity and a narcotic mode of action, although (as this chapter highlights) there are many other mechanisms of action and sublethal effects that have implications at the individual, population, and ecosystem levels as a result of both acute (not lethal and also including delayed responses) and chronic longer-term exposures

Duration of use: The drug is intended for prolonged use

Unregulated peptide suppliers have been linked to FDA warnings for contamination, mislabeling, and inconsistent dosing