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However, 24 patients did not complete the 90-day period due to various reasons: two patients started other intranasal medications, five voluntarily withdrew, nine were excluded by researchers for non-compliance, seven were lost to follow-up, and one patient died

Vitamin B12 injections are clinically indicated for specific patient groups with documented deficiency or malabsorption conditions, rather than as a general energy supplement

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However, symptoms occurring more than twice weekly, especially when accompanied by difficulty swallowing, persistent cough, or sleep disruption, indicate a more serious condition requiring comprehensive management

B12 is also known by the name Cobalamin so don't get confused if you see that term thrown around online