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If its used for a medical procedure, it wont cause lasting effects but if its frequently used recreationally, it can seriously affect B12 levels, cause a deficiency and impair healthy functioning of the body (Campdesuner et al., 2020

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Animal doses are calculated per kilogram of body weight and do not scale linearly to humans

Ahmed SF, Achermann J, Alderson J, Crouch NS, Elford S, Hughes IA, Krone N, McGowan R, Mushtaq T, OToole S, Perry L, Rodie ME, Skae M, Turner HE (2021) Society for Endocrinology UK Guidance on the initial evaluation of a suspected difference or disorder of sex development (Revised 2021)