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Patients with rhinorrhea (rhinitis) who are receiving the intranasal formulations of cyanocobalamin may experience decreased medication absorption secondary to nasal discharge

There isnt an easy remedy for this problem, but when labs are particularly bad, there tend to be a lot of discussion threads on various social platforms

Removal of cobalamin analogue in bile by enterohepatic circulation of vitamin B12

B12 Injections Vitamin B12 is a water-soluble vitamin that is naturally produced by gut bacteria

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