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Talk to a licensed healthcare provider before starting or continuing Lipotropic+B12

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People with pernicious anemia or significant gastrointestinal absorption issues may be placed on injections for this reason

If you are eating hot foods or liquids, use Cyanocobalamin Nasal Spray at least one hour before or one hour afterwards because eating hot food or drinking hot liquids too soon before or after taking Cyanocobalamin Nasal Spray can cause you to have a runny nose and can affect the amount of Cyanocobalamin Nasal Spray you receive