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Contraindication High doses might cause teratogenesis and embryo-toxcicity

doi: 10.1046/j.1524-475X.1994.20406.x

In some cases of long-term severe deficiency, healing of the nerve damage may be extremely slow, requiring maintenance of B12 levels for months to achieve optimal recovery

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Some clinics may offer it as a nasal spray or troche, though injection remains the most effective delivery method

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