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Because these are compounded formulations , patients should only use peptides prescribed by a licensed physician and filled by an accredited compounding pharmacy

To make sure it's safe for you, tell your doctor before starting hydroxocobalamin if you: have had an allergic reaction to hydroxocobalamin or any other medicines in the past have been told you have low levels of potassium have an irregular or fast heartbeat Side effects Like all medicines, hydroxocobalamin can cause side effects in some people, but not everyone gets them

Personalized Medicine: Genetic testing might eventually help predict which treatments will work best for individual patients based on their specific mutations

DOI: 10.1136/bmj.323.7326.13771121846 13

If sleep disruption persists beyond the adjustment period, your provider has options