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Topical and Nasal AOD-9604 Topical and nasal forms appear in marketing, but the FDA review found no published human exposure data for transdermal or intranasal AOD-9604

Its also best to begin this injection treatment with a professional at first, so that you can be sure that it is administered correctly

No studies have shown that extra B12 offers any benefits in these areas

Absorption problems Even with adequate intake, absorption can be reduced by: Certain gastrointestinal conditions affecting the stomach or small intestine Some medications Age-related reduction in stomach acid (which can affect absorption) Autoimmune gastritis (often historically referred to as pernicious anaemia) This is a well-recognised cause of B12 deficiency and may require ongoing management

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Yes, switching forms is a valid strategy when symptoms remain despite normal labs