More serious but rare adverse events include pancreatitis (0.2% incidence), gallbladder disease requiring surgical intervention, and medullary thyroid carcinoma risk in genetically predisposed individuals (contraindicated in patients with personal or family history of MTC or MEN2 syndrome)
Long-Term Effects The long-term effects of Lipo B12 and AMINO injections can be more subtle and gradual compared to the immediate benefits, but they are often more sustainable
Injections are usually given in the upper arm, the bottom, or in the upper thigh
Topical penetration is the limiting factor: copper peptides are large molecules that require formulation technology to cross the skin barrier
Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement
Harmless and self-limiting