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This would render oral formulations of DSIP virtually ineffective compared to nasal spray and injections [5]
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However, it is important to understand that 24 weeks, while substantial for clinical trials, provides limited information about safety with years-long continuous use
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It is one of the more common micronutrient gaps I identify in my clinic, particularly in women presenting with unexplained fatigue, mood changes, or tingling sensations
Your doctor recommends it based on your B12 level, age, diet, and overall health
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