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Causes of vitamin B 12 deficiency can be divided into three classes: nutritional deficiency, malabsorption syndromes, and other gastrointestinal causes (Table 2)

Nasal spray: Use BAC water with NaCl , not standard BAC water benzyl alcohol alone can irritate nasal mucosa

Label every reconstituted solution with date, concentration, and initials

Although states like Ohio and Indiana have passed laws to improve oversight, med spas are widely underregulated and thus unaccountable to authorities

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