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A topical nasal spray is often a better choice because it works directly on nasal blood vessels without depending on digestive absorption

Ballerini M, Larson M, Foran J, Howren MB, Hildebrandt M , Pamela, Allen, Riska S, Maurer M, Slager S, Feldman A, Jaye D, Thomas, Habermann, Cohen J, Kahl B, Martin P, Lossos IS, Friedberg J, Link B, Mou E, Nze C, Thompson C, Williams A, Yost K, Flowers C, Cerhan J

Counterfeit versions of branded drugs with harmful or inactive ingredients further exacerbate risks