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In addition to excessive intake of dietary supplements, parenteral administration of vitamin B12 may be another cause of excess, which is likely associated with an immune system response to produce anti-TC II antibodies

In this scenario, you would also have the opportunity to work with a Medical Review Officer (MRO), a licensed physician trained in substance abuse disorders and drug testing methodology

Yiliang, W

On one hand, moving these substances into regulated compounding pharmacies could provide better oversight, ensuring that if a patient chooses to use them, they are at least receiving a pharmaceutical-grade product rather than a back-alley version, he said