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I have Hydroxocobalamin as it's the standard what NHS use in UK
Nasal spray considerations: Typically lower bioavailability than injection, requiring somewhat higher doses Faster onset in some users due to direct CNS access More convenient and less intimidating for needle-averse individuals Requires properly calibrated spray bottles for accurate dosing Converting from injectable to nasal dosing is not straightforward
Adverse effects observed in trials include nausea, vomiting, gallbladder disease, dehydration, and potential pancreatitis
Episodic calorie restriction = 1-3 days per week of 500-1,000 calories
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