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The FDA label includes a boxed warning regarding thyroid C-cell tumors observed in rodent studies, contraindicating use in patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

Those with cancer history, pregnancy, or serious medical conditions should consult healthcare providers before use

For people with confirmed vitamin deficiency, injectable B12 is a clinically well-established and effective treatment

Your judgment will have already been impaired