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The regulatory distinction you made is so crucial: the July FDA advisory committee meeting on BPC-157, TB-500, KPV, and others is about compounding access through the 503A pathway, not approval, and not evidence of efficacy

If you notice increased anxiety after starting B12 supplementation, it's worth discussing with your provider

Causes of Anxiety B12 Side Effects Another common side effect or issue reported from taking B12 or B vitamins is anxiety, heart palpitations and difficulty sleeping

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It is not approved by the FDA or any other regulatory agency for medical or diagnostic use