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This could explain why some users report such dramatic improvements even in chronic injuries that had been resistant to other treatments

Factors such as initial B12 levels, underlying medical conditions, certain medications, advanced age, and injection frequency can affect the absorption and utilization of B12, possibly shortening the duration of action

Still, even those who dont have anemia can benefit

Cyanocobalamin Nasal Spray is a prescription medicine used: In people that have corrected or have fixed their short-term causes of vitamin B12 deficiency, the benefit of continued long-term use of Cyanocobalamin Nasal Spray is not known after vitamin B12 deficiency has been corrected