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Currently, the only prescription options include cobalamin delivered intranasally and delivered parenterally (as intramuscular or deep subcutaneous injection).4,7 The intranasal products appear to be well tolerated and are marketed under the brand names, CaloMist and Nascobal

It is contraindicated in people with cardiovascular disease, uncontrolled hypertension, or a history of drug misuse, and must not be taken with monoamine oxidase inhibitors (MAOIs) due to the risk of hypertensive crisis

(IBS) BPC 157 - ( Occludin ZO-1),

The first follow-up review is usually at week four to six