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Hydroxocobalamin injections are used when a longer release of vitamin B12 is needed

So, as this group has been experimenting over the last years, the problem with IGF-1 is a matter of dosage

In aged skeletal muscle models, NNMT inhibitor treatment increased proliferating/active muscle stem cells by 60-75% following injury, myofiber cross-sectional area increased 1.8-fold at one week post-injury with high-dose treatment, and peak torque of injured muscle increased by 67% compared to control (p = 0.033), with no untoward systemic toxicity observed in plasma chemistry markers (Neelakantan et al., 2019)

The differences are FDA approval status (weight loss vs diabetes), pricing, and supply availability

Potential adverse effects of hydroxocobalamin injections include injection site reactions, hypersensitivity, and rarely anaphylaxis

Shaking is a common mistake