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Potential concerns include effects on angiogenesis that theoretically could influence tumor development or progression, though preclinical studies show context-dependent effects that inhibit pathological angiogenesis in some tumor models
Commercial GLP-1 products often include proprietary stabilizers enabling room temperature storage for specified periods
Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant
Bentley et al., 2007)
The powder should dissolve completely in bacteriostatic water rapidly without particulates
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