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The benzyl alcohol preservative has been linked to severe toxicity in this population, including a potentially fatal condition known as gasping syndrome. Newborns have immature metabolic pathways and cannot efficiently metabolize benzyl alcohol, leading to its accumulation and metabolic acidosis with respiratory failure in severe cases

29 A study in the elderly without cognitive impairment also found significant improvements with hydroxo-B12, 1000 g i.m

Declining NAD+ impairs energy, metabolism, skin health, and immunity, accelerating biological aging.[12][13] Research indicates that this loop can be interrupted by boosting NAD+, potentially reversing aspects of biological age as measured by epigenetic clocks

Itching or mild rash

Its worth noting that the copper ion isnt just along for the ride

Most of these are in southeast Africa or Central America