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Serious side effects are very rare

Therefore, this study aimed to compare two intranasal vitamin B12 dosage regimens (with and without loading dose) in elderly patients deficient in vitamin B12, focusing on vitamin B12 levels and three biomarkers indicative of deficiency: holotranscobalamin, methylmalonic acid, and total homocysteine

If you are unsure whether you need both supplements, or if you are taking other medications or have underlying health conditions, consult your GP or pharmacist

one for injection and another specifically for peptide reconstitution