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Description
10.1186/s13020-023-00819-4 70 WangM.FuR.XuD.ChenY.YueS.ZhangS.et al (2024)

Instead, its known for: BDNF (brain-derived neurotrophic factor) modulation, which aids in boosting neurotransmitter systems (dopamine and serotonin) in the brain

Intranasal cyanocobalamin therapy is not ideal for patients with chronic nasal symptoms or significant nasal pathology

Quality system (QS) regulation/medical device good manufacturing practices

A timeline
Depending on the patient, one may be enough, a second may be added later, or both may be appropriate from the start
