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Serious side effects and warnings Romiplostim can cause serious side effects, including: Worsening of a precancerous blood condition to a blood cancer (leukemia)

Sublingual and intranasal are other possible ways to supplement with B12 once B12 levels have stabilized

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Metabolism support This blend of B vitamins helps maintain the normal metabolism of carbohydrates, fats and proteins, supporting overall metabolic health

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