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For a full overview of how the TGA treats research peptides in Australia, see our peptide legality and TGA compliance guide

Possible complications heart failure severe neurological deficits gastric cancer type 1 diabetes rheumatoid arthritis myasthenia gravis (a chronic condition causing muscle weakness) Hashimotos disease (an autoimmune condition affecting the thyroid) A pregnant or nursing person with a B12 deficiency When a person receives treatment for a B12 deficiency, they generally recover well and cease to have symptoms, although they may need to continue to use B12 nutritional supplements

It has two options: 3-monthly b12 injections or (often against clinician advice) no treatment

The tapeworm from undercooked fish ( Diphyllobothrium latum ) absorbs huge quantities of vitamin B 12 , and infested patients often have associated gastric atrophy

Elevated B12 may occasionally be associated with certain cancers, particularly haematological malignancies and liver cancers, but it does not directly indicate cancer is present

Shaking introduces mechanical stress that can break the delicate peptide bonds, a process called shearing