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The most dangerous side effect is agranulocytosis (1/250, more in PTU)

This increased stress as a result of redox imbalance then leaves neurons highly susceptible to the neurotoxic environment

Your body stores and uses vitamin B12 over time, so it is important to combat deficiency with injections as soon as possible

References The USADA or anti-doping agency statement FDA bulletin, Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks PubMed list of papers Also see my newer peptides post that provides more context on peptides and compounding as well as FDA oversight along with political impacts