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The International Peptide Society notes that epitalon administered intranasally would require two to three times the injectable dosage to achieve comparable effects

5 Lipo-Slim, Lipo-Boost, or Lipo-Crave Injections: Targets fat reduction while enhancing metabolic function

reviewed the evidence as to whether any of the available forms of B12 are superior, and concluded that all forms can be converted to the active methyl- and adenosyl-B12 forms, and that there was not sufficient evidence to suggest that any form was superior in terms of bioavailability, biochemical effects or clinical efficacy

One cause can be liver stress due to your hypothyroid state, meaning it wont be doing a good job clearing out your excess B12