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Patients should monitor their symptoms closely and communicate with their healthcare provider if diarrhea persists beyond a few days or worsens
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Most nasal spray protocols settle on 500mcg administered 2-3 times daily, totaling 1000-1500mcg per day
Another case involved an anaphylactic shock after a hydroxocobalamin injection
Oral formulations have been investigated for their potential effects on the stomach, intestines, and gastrointestinal lining while also being evaluated for broader systemic activity
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