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Patients with neurological involvement require more intensive initial treatment with injections on alternate days until no further improvement occurs

When administered via nasal spray, cyanocobalamin is absorbed through the nasal mucosa, directly entering the bloodstream

Common Contraindications Active or recent cancer (BPC-157 and TB-500 angiogenesis concern), Wilson's disease or other copper metabolism disorders (GHK-Cu component), pregnancy or breastfeeding (no safety data for any component), and competitive sport at WADA-tested levels (BPC-157 and TB-500 are listed under WADA category S0 Unapproved Substances) are commonly cited reasons not to research KLOW

No, it is not FDA-approved, and much of the evidence is preclinical