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doi:10.1136/bcr-2013-200380 Desai HG, Gupte PA

Patients were instructed to use high dose vitamin B12 nasal drops (5,000 mcg one nasal drop in each nostril, twice per week)

There are different uses and indications for each of these forms
Lyophilised powder before reconstitution should be stored at 20C for maximum stability