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these include liraglutide (Victoza), a glucagon-like peptide-1 used to treat type 2 diabetes mellitus, and leuprolide (Lupron), a somatostatin analog used to treat prostate cancer 4

Lowe, Paul Kim, Hyesoo Jung, Yiping Tu, Joonyoung Kim, Ashley M

A rare case involved a woman who had immediate adverse reactions to both cyanocobalamin and hydroxocobalamin, by both injection and oral delivery

This is because the benzyl alcohol, which acts as the preservative, remains effective for a long period as long as the vial is sealed and stored correctly

This can sometimes lead to more rapid effects, but also comes with a greater risk of side effects such as joint pain, insulin resistance, Carpal tunnel syndrome, joint and muscle pain, swelling or arms and legs, and gynecomastia (enlarging of breast tissue in men)