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Circulation 122:S729S767 Tang PT, Do DH, Li A, Boyle NG (2018) Team management of the ventricular tachycardia patient

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High-dose oral cyanocobalamin (1,000 mcg daily) or intramuscular hydroxocobalamin injections are the preferred supplementation routes, as both bypass the need for intrinsic factor

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A clinical review published in the International Journal of Molecular Sciences documenting the pharmacological basis and clinical applications of therapeutic peptides, confirming their classification as off-label compounded preparations outside FDA-approved indications provides the regulatory context
