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The use of thymosin beta 4 as a doping agent in horse racing has led to a big doping scandal, and it is unclear if horses are tested for this peptide 6m45s

The FDA issued a warning about these formulations.12 Isaacs also raises safety concerns about obtaining these medications online and from other countries

Due to the medications effect of delaying stomach emptying, there is a potential risk of pulmonary aspiration, where stomach contents are accidentally inhaled into the airway

NICE guidance recommends intramuscular hydroxocobalamin as first-line treatment for B12 deficiency caused by pernicious anaemia or malabsorption