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If the injection is given IV (slowly), there may be a brief sensation of warmth or a mild flushing during the infusion, owing to the niacinamide component

Long-term safety including hormone interaction, cancer risk, and effects on reproductive health has not been studied

Per VetOne's website each mL of liquid contains: Cyanocobalamin (Vitamin B-12) 1000mcg, sodium chloride, ammonium sulfate, citric acid, sodium citrate, and benzyl alcohol (preservative)

Contraindications Active cancer: BPC-157 promotes new blood vessel formation and cell migration, the basis for the caution flagged in active malignancy Pregnancy/breastfeeding: insufficient safety data Within 2 weeks of surgery: excessive angiogenesis may complicate wound closure Monitoring For most applications, no specific monitoring is required