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It does not establish a complete toxicology profile, does not replace institutional risk assessment, does not replace supplier-provided safety documentation, and does not support any human, veterinary, cosmetic, dietary, household, or personal-use application

So the term off-label is off here since it does not have current FDA approval

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While B12 supplements benefit those with deficiencies, most people without a deficiency wont see additional benefits from taking extra oral vitamins or injections