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Monitoring: After starting injections, B12 blood levels and hematologic response are monitored

Consult a health professional to understand what's best for your specific health needs. Nature Made's commitment to quality is evident in our vitamin B12 supplements

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

It is encoded by the TMSB4X gene as a longer protein and cleaved to the 43 amino acid peptide