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This is a compounded medication and is not FDA-approved
Absorption Pathway Analysis The nasal spray formulation itself is being studied for its potential to support alternative absorption pathways in research environments
The same applies if your elevated B12 is accompanied by abnormal results on other labs (liver enzymes, kidney markers, CBC), or by symptoms like unexplained weight loss, persistent fatigue, abdominal pain, or easy bruising
Metformin-Associated Functional Vitamin B12 Deficiency Presenting as Subacute Combined Degeneration in a 57-Year-Old Man With Diabetes Mellitus
Its important to keep up with check-ups and adjust your treatment as needed
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