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While price varies by location and the specific formulation used (such as Methylcobalamin), most providers offer package pricing that can reduce the cost to as little as $30 per shot when purchased in bundles of four or more

Regulatory restrictions make many of these compounds hard to obtain, particularly in the United States

Both current and prospective users say theyd prefer to access them through licensed compounding pharmacies with physician oversight

Important contraindications include personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, and patients should be counseled about potential risks including pancreatitis and gallbladder disease