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If you have blood in stool, anemia, or a strong family history of IBD, dont self-label

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Since then, several clinical studies have shown its safe and effective use - but the pharmacuetical companies have decided not to (yet) pursue FDA-Approval (likely because each new FDA-Approval costs several million dollars to go through the process, and because there are a good deal of drugs used off-label in the way tranexamic acid is for melasma, especially when the drug has a long history of safety and efficacy, as is in this case)

Nature 436:261265

There are four types of injections: Hydroxocobalamin, Cyanocobalamin, Adenosylcobalamin, and Methylcobalamin