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Specific Instructions for Administration Advise patients to administer Cyanocobalamin Nasal Spray at least one hour before or one hour after ingestion of hot foods or liquids since hot foods may cause nasal secretions and a resulting loss of medication

Procedural support for controlled research compound preparation Organize the sterile preparation solution, lyophilized research vial, alcohol disinfection pads, and the measurement tools required by the active laboratory protocol

Changes in vision, while uncommon, may occur during treatment