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Therefore, treatment with Nascobal Nasal Spray should be deferred until symptoms have subsided

doi: 10.1155/2017/9012152 92 AustinMJKalampalikaFCawthornWPPatelB

This deficiency can be corrected with regular B12 injections from Pamela Phillips, Ph.D., FNP-C, and her team at Phillips Family Medical in DeSoto, Texas

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If you experience progressive neurological symptoms (numbness, tingling, difficulty walking), cognitive changes, or severe anaemia, seek urgent GP assessment