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Unexplained hypercobalaminemia, particularly levels above 1,000 pg/mL, has been associated with liver disease, kidney dysfunction, myeloproliferative disorders, and certain solid cancers in multiple large-scale studies

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However you will often find it paired with another growth hormone releasing peptide Ipamorelin because it elongates the Ipamorelins half-life allowing the peptides benefits to be felt by the user for up to 24 hours rather than the 5-6 hours of Ipamorelin on its own