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If you experience numbness, tingling, or weakness in your hands or feet, speak to your doctor immediately

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Delivering the vitamin directly into the muscle or through the nose bypasses a damaged digestive system to quickly repair the nerves.Vitamin B12 (IM/nasal) Generic Name: Cyanocobalamin / Methylcobalamin US Brand Names: Nascobal (Nasal Spray), Cobolin-M, generic Cyanocobalamin injection vials Route of Administration: Intramuscular (IM) Injection, Intranasal (Nasal Spray) FDA Approval Status: Fully FDA-approved in the United States and globally recognized as an essential medicine to treat Vitamin B12 deficiency, pernicious anemia, and associated neurological complications

Some individuals especially those sensitive to changes in methylation activity describe feeling overstimulated or jittery with high-dose methyl B12