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Its compounding-pathway status is unsettled: ibutamoren mesylate was nominated for inclusion on FDA's Section 503A bulk drug substances list, and the Pharmacy Compounding Advisory Committee reviewed the nomination at its October 29, 2024 meeting and voted against recommending it for the list, citing concerns about the strength of the safety and efficacy evidence

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However, there is no strong scientific evidence to suggest that B12 injections directly lead to increased fat burn or significantly impact metabolism for people who are not deficient