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NHS treatment guidance describes a loading course followed by maintenance injections every two to three months for many people, while a diet-related deficiency may need less

(PubMed) Wu Y, Zhang L, Li S, Zhang D

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The product sold by clinics is a synthetic 15-amino-acid peptide manufactured by "solid-phase synthesis", administered under the skin, into the muscle or a joint, or intravenously, often at higher doses for weeks

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