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The research use version goes for roughly a fifth of that and is still enormously profitable, because bringing a real drug through trials to FDA approval is often estimated in the hundreds of millions of dollars, and by some counts well over a billion once you count the failures

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All clinical trial data, research findings, and scientific information presented on this page are sourced from peer-reviewed academic publications

This article explains how these injections work, their benefits and risks, and how they compare to taking B12 in pill form