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Administer Cyanocobalamin Nasal Spray at least one hour before or one hour after ingestion of hot foods or liquids since hot foods may cause nasal secretions and a resulting loss of medication

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Alright, so now we know a little of the science, a little of the theory on what people THINK will happen or how it will help based on the science.but I find this is not always that useful in itself

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Sterile Water for Injection USP is a prescription pharmaceutical product intended exclusively for use by or under the supervision of a licensed healthcare professional, pharmacist, or authorised medical provider

But if your B12 level is normal