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Description
Vitamin B12, also known as Cyanocobalamin, is used for the prevention and treatment of low levels of Vitamin B12 in the blood

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This compounded medication is only available when the commercially available product is unavailable or when a prescriber determines that there is a clinically significant difference for the patient
Vitamin B12 As a diagnosed Pernicious Anaemia patient of 6 years , I do not advise you to use nasal spray instead of B12 injections