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By mimicking MSH, it binds to these Gproteincoupled receptors and activates intracellular signaling pathways, including increased cyclic AMP (cAMP) production associated with melanogenesis

The body does not need to process the vitamin through digestive pathways that may interfere with uptake

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If very large volumes were mistakenly injected, theoretical effects could include CNS depression, low blood pressure or breathing changes, but such overdoses are not reported at normal doses

PMID 16219884

For most patients, this causes temporary nausea that resolves during dose titration