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Quitting a medication cold turkey may lead to withdrawal symptoms, so its best not to make any changes to your dose until you talk to your healthcare provider

The route of the nasal cavity not only avoids enzymatic degradation, a hazard of oral administration, but also offers rapid onset and consistent systemic delivery in scientific research settings

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Ophthalmic Plast Reconstructive Surg (2021) 37(5):47681

This makes it particularly dangerous for GLP-1 users, who are already dealing with a constellation of symptoms that can mask early B12 depletion