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The trade-off is significant: 60-70% of the peptide is lost during nasal absorption, meaning you need 2-3 times the dose to achieve equivalent melanocortin receptor activation

It also causes cataracts to form faster than normal, resulting in decreased vision

PMID: 25044089

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The team at Metabolic Medical Center recommends vitamin B12 injections for people with a vitamin B12 deficiency
