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This could be due to a variety of reasons such as genetic factors, underlying health conditions like pernicious anaemia, or gastrointestinal surgery

However, it should not be considered a substitute for medical advice or consultation

*Product contains benzyl alcohol as an inactive ingredient Contraindications for Benzyl Alcohol This preparation is not advised in patients who are sensitive to cobalt and/or vitamin B12

So why the label

suggesting that, at high concentrations, IGF-1 has effects not simply mediated by suppressing the effect of GH on hepatic insulin sensitivity [129, 209]

Some reasons people choose not to are because they have a fear of needles, they have had success with oral supplements, and that they just dont absolutely need vitamin shots