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DONT use the nasal spray within 1 hour of using other nasal decongestants or allergy sprays, as this can wash the medicine away before it absorbs

Individuals with risk factors for B12 deficiency including strict vegans, those with gastrointestinal conditions, patients taking long-term metformin or proton pump inhibitors, and older adultsshould discuss screening with their GP, even in the absence of obvious symptoms

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You really want reassurance that everything is okay, or to get them the help that they need, the medicine that they need, the care that they need