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Serving Size: 2 Pumps

The incidence of adverse experiences described in the Table below are based on data from a short-term clinical trial in vitamin B12 deficient patients in hematologic remission receiving Nascobal (Cyanocobalamin, USP) Gel for Intranasal Administration (N=24) and intramuscular vitamin B12 (N=25)

Dosing, cycle length, and complementary therapies are customized to each patient

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Important cautions include avoiding use in patients with severe gastroparesis or other severe gastrointestinal disease, monitoring for diabetic retinopathy complications (particularly in patients with pre-existing retinopathy), and avoiding use during pregnancy with a recommended washout period of at least 2 months before planned conception