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Vegans, older adults, those with pernicious anemia, and patients on metformin or proton-pump inhibitors face higher deficiency risk and warrant clinical evaluation before starting

However, TB-500 also has some angiogenic properties, so the distinction may be one of degree rather than kind

David, et al

I hesitate to take this article at face value given their clear biases

Bacteriostatic Water Interactions Bacteriostatic Water may be incompatible with a drug which contains benzyl alcohol