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The adverse reactions described in Table 1 below are based on data from an eight week cross over trial in which vitamin B12 deficient patients in hematologic remission received one vitamin B12 intramuscular injection (N=25) and then received once weekly intranasal administration of another nasal cyanocobalamin formulation (N=24) for 4 weeks

Among other things, they wrote, this could lead to confirmation bias

Methylmalonic acid and homocysteine were not assessed prior to supplementation

If you know you wont be able to attend an injection appointment (for example, if you are travelling), you need to let your clinic know

Novum Peptides supplies research materials in clearly labelled laboratory vials with batch traceability and specification data where applicable

Before recommending any treatment, including B12 injections, we conduct comprehensive assessments to identify the true cause of your fatigue