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Many of these products, which lack FDA oversight, make various unproven health claims

Typical ingredients may include Methionine, Inositol, Choline, Vitamin B12, and L-Carnitine

Leukopenia, macrocytosis, and thrombocytopenia occur in young adults with Down syndrome

Pregnancy and Breastfeeding Appendix E

I've brought this up before on this forum and got all the same kind of advice you got, and I do everything properly, and I've been doing it once or twice a week for years, so for me it's just become a fact of life that it's going to hurt

Repeated injections in the exact same spot can cause lipohypertrophy, where fatty tissue changes texture and affects absorption