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A lot of people in Oldham and Greater Manchester are running on empty and dont realise that low B12 might be the reason

10mg total lyophilized powder, 99%+ purity per component verified by Janoshik Analytical via HPLC and mass spectrometry

N Engl J Med 341 : 785792 Clemmons DR (1993) Use of growth hormone and insulin-like growth factor I in catabolism that is induced by negative energy balance

doi: 10.1007/s00213-009-1648-7

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Participants were initially split into an intervention group of combined 20 mg lidocaine and 1000 g B12 delivered locally by subcutaneous injection once a day whilst a control group received 1000 g B12 plus 20 mg lidocaine IM injection once a day