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Specific Instructions for Administration Advise patients to administer Cyanocobalamin Nasal Spray at least one hour before or one hour after ingestion of hot foods or liquids since hot foods may cause nasal secretions and a resulting loss of medication

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Be sure to review and share with your practice management team(s) for preparation for January 1 st to avoid billing and reimbursement delays

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Training must emphasize the importance of identifying at-risk patients, including those with GI disorders, vegetarian diets , or a history of recreational N2O use, and initiating appropriate preventive measures or interventions