DSIP has been part of the shifting regulatory review process that governs which peptides may be eligible for pharmacy compounding, and as of this writing there is no established compounding pathway that would make it routinely available the way an approved or clearly compoundable medication would be
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Elevated B12 levels, or hypercobalaminaemia, occur when serum concentrations exceed the upper limit of normal, sometimes reaching several thousand ng/L
J Phys Chem B (2003) 107:593347
Hormonal fluctuations: Given DSIP's effects on LH and GH, some hormonal variability is possible, though rarely problematic in documented use