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According to Harvard Medical School, people with cobalamin deficiency may experience subtle but unusual and progressive signs of illness, including strange tingling or numb sensations, difficulty walking, cognitive and memory issues, and weakness

TB-500 is available from research peptide suppliers and some compounding pharmacies that work with veterinarians

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Once opened, store the vial at room temperature and access only with sterile needles using aseptic technique

The benefit of this is that this higher dose can be injected in one shot and the benefits of B12 supplementation may be felt sooner

Alternatives the physician considered, including the option of no treatment