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This occurs because oxidative stressors and toxic substances constantly affect the liver

Unless otherwise prescribed by the doctor, the usual dose is: At the beginning of the treatment, 1 ml (1 ampoule) is administered once or twice a week in the first two weeks after diagnosis, according to 1000 - 2000 g cyanocobalamine per week

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The German BfArM and equivalent agencies (ANSM in France, AEMPS in Spain, AIFA in Italy, URPL in Poland) treat unauthorized human use of these compounds as outside the scope of the marketing authorization regime entirely

Regulatory Status of Peptide Compounding in 2025