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We are aware that some of the subjects may have had genetically low concentrations of transcobalamin I (TCI), which is now known to be a benign condition that most probably does not need medical treatment [17]

(2.1) The recommended initial dose is one spray (500 mcg) in one nostril once weekly.(2.2) Administer at least one hour before or one hour after ingestion of hot foods or liquids

Mori H, Kuroda A, Araki M, Suzuki R, Taniguchi S, Tamaki M, et al

Aging Dis 16:2870

Best choice: your provider can recommend the right option based on your B12 level, the cause of your deficiency, and your symptoms

No serious adverse events have been reported in the available literature at therapeutic doses