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The Bio-Availability Debate: Oral vs
The peak concentrations after administration of intranasal spray were reached in 1.25 +/- 1.9 hours

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Serum levels drop relatively fast

Look for cloudiness, visible particles, color changes (beyond very faint yellow), unusual smell, or foam that will not dissipate
This is thought to be linked with the changes in the way the nerves function during vitamin b12 deficiency
