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To avoid a potential risk of hypercobalaminemia or possible health risks of high-dose dietary supplements, an annual blood test is recommended, after which targeted substitution can be performed

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Bacteriostatic water contains 0.9% benzyl alcohol as a bacteriostatic agent

That is the mechanism the research points to, and it's why 5-Amino-1MQ is studied for metabolic and fat-loss support rather than as a stimulant