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It is a 16amino-acid fragment from the C-terminal region of human growth hormone (often referenced as hGH 177191 or Tyr-hGH 177191 )

A 2005 study concluded that oral vitamin B12 and intramuscular (IM) vitamin B12 have similar effects in terms of normalizing serum vitamin B12 levels.(7) The treatment and maintenance of a B12 deficiency largely depends on what has caused it