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Visual acuity and pressure every visit

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Important safety note: People who are pregnant or trying to conceive should avoid liver and liver products due to their high vitamin A (retinol) content, which may harm the developing baby

Further, NASO B12 was well-tolerated throughout the treatment period.[] Patients on metformin therapy receiving NASO B12 should also be instructed that they will require weekly intranasal administration of NASO B12 spray in each nostril after correction of vitamin B12 deficiency for the remainder of their lives