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Joint discomfort is not listed as a recognised adverse effect in the BNF or licensed B12 product information, and most people taking B12 experience no musculoskeletal symptoms

10.1038/S41418-017-0025-Z 50 DuszenkoM.GingerM

The committee's review was limited to specific nominated indications, but compounding pharmacies, if permitted to produce these substances, could legally dispense them for any condition a physician prescribes

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Peptides can also be taken sublingually, applied topically, or administered through injections