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Theoretical and route-specific risks FDA's 2024 review specifically flagged that no published human exposure data exists for the subcutaneous, transdermal, or intranasal routes that compounding pharmacies have offered

No evidence of fluid retention, insulin resistance, or joint swelling typically associated with full hGH

Some ambitious protocols run all three, but that level of complexity is best reserved for experienced users who have already run each compound individually and understand their response

Table 1: Patient Risk Factors Associated with B 12 Deficiency Bold represents factors associated with more rapid onset of clinical symptoms i.e., within 5 years