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The stability problem is one reason why people in the UK are much better off with German hydroxocobalamin
The primary safety consideration isn't a drug interaction but rather the physiological effect of sustained growth hormone elevation on blood sugar, which is manageable with routine lab monitoring

The risk of photolysis Even though B12 is very stable when dry, it is also extremely light-sensitive in liquid form

The company has indicated plans to submit for type 2 diabetes indications in 2026 as well, supported by data from the ACHIEVE trial program
