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25 units delivers 1.25-7.5 mg

Cyanocobalamin Nasal Spray is a solution of cyanocobalamin, USP (vitamin B12) for administration as a spray to the nasal mucosa

Second, many available studies are characterized by small sample sizes or lack appropriate control groups, making it difficult to draw definitive conclusions about therapeutic efficacy and optimal treatment protocols

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It causes flu-like symptoms, including fever, muscle aches, headaches and being very tired