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The risk calculus is straightforward

Additionally, if you have early Lebers disease or exhibit symptoms of low folate or iron levels like extreme fatigue, sore or red tongue, muscle weakness, and burning or prickling sensations in arms or legs, it's important to inform your doctor before using the nasal spray

Im worried that when I get my next shot in a few weeks (my endo who is treating me for Hashimotos has requested monthly b12) that its going to get worse

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It is not intended for human consumption, diagnosis, treatment, or medical use of any kind

Adequate stomach acid production and enzyme activity promote proper digestion, potentially reducing the volume and duration of gastric contents available for reflux