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B12 shots supply vitamin B12 as methylcobalamin or cyanocobalamin, typically given intramuscularly into the deltoid, supporting red blood cell formation, myelin and nervous system health, and the metabolism of homocysteine, a process that can falter with vegan diets, malabsorption, or medications like metformin

"Your firm offers 'Bacteriostatic Water' for sale alongside peptide products, which are drugs intended for injection and require reconstitution" said FDA in its letter to Lovega

Keceli G, Gupta A, Sourdon J, Gabr R, Schr M, Dey S, Tocchetti CG, Stuber A, Agrimi J, Zhang Y, Leppo M, Steenbergen C, Lai S, Yanek LR, ORourke B, Gerstenblith G, Bottomley PA, Wang Y, Paolocci N, Weiss RG

This table makes it clear: while they share a core function, their specialties differ