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10.1073/pnas.76.1.56 429 MurogaY.TagawaH.HiragiY.UekiT.KataokaM.IzumiY.et al (1988)

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Injectable use raises different sterility, dosing, safety, and regulatory concerns than topical use

Because methylcobalamin is classed as a nutritional supplement and is not a licensed prescription only medicine in the UK, it is not available via the NHS and is being offered more and more by non-healthcare and non-prescribing practitioners as a treatment for wellness, fatigue, and to boost energy, without making any medical claims around deficiency, and is rarely combined with a supplement of adenosylcobalamin

PubMed Anisimov VN, Khavinson VKh, Provinciali M, et al

Clients also appreciate the spa environmentits professional, welcoming, and designed to make each treatment a positive experience