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Hydroxocobalamin is bound to plasma proteins and stored in the liver

The potential effects on fetal development and breast milk composition are unknown

For years, the Food and Drug Administration has been trying to crack down on the space, sending warning letters to clinics that promote the products and adding more than two dozen peptides to a list of ingredients that should not be made by specialty pharmacies that often custom mix the formulations

Published veterinary research on the peptide contributed to understanding of its mechanisms and safety profile, though this animal data has not been directly replicated in human clinical trials