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Nasal spray: 500 mcg/0.1 mL (per actuation), packaged in a single-use device containing 0.125 mL of solution Cyanocobalamin Nasal Spray is contraindicated in patients with hypersensitivity to cobalt and/or vitamin B12 or any of its excipients [see Warnings and Precautions (5.2)]

[DOI] [PubMed] [Google Scholar] BNF 2004 British Medical Association, Royal Pharmaceutical Society of Great Britain

Improper dosing: Self-administering increases the risk of overdosing or underdosing if instructions arent followed accurately

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The diet therapy part of treating IBD is so critical and cannot be underestimated in controlling and managing this disease, because otherwise, we are only putting a bandaid on the problem with anti-inflammatory and immunosuppressive medications, that arent healing the disease