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Potential risks include: Infection risk if injections are administered in non-clinical settings without appropriate sterile technique Allergic reactions to any component of the formulation Liver toxicity theoretical concern with excessive methionine or choline Drug interactions particularly if combined with other supplements or medications Unknown long-term effects due to absence of longitudinal safety data The MHRA advises caution with unlicensed injectable products, as quality, purity, and sterility cannot be guaranteed

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It also contributes to the accumulation in erythrocytes of compounds containing sulfhydryl groups

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In a 2019 study of 140 people, researchers found that the participants who had migraine also had low blood levels of B12