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You may also want to check whether your state has a pharmaceutical assistance program

B12 deficiency is especially risky for vegetarians, the elderly, and people with absorption issues, such as those with Crohns disease.

Insert tip of bottle into a nostril, & spray while gently sniffing in

Neomycin, colchicine, para-aminosalicylic acid, or excessive alcohol intake longer than two weeks may cause malabsorption of vitamin B12. Chloramphenicol and other drugs having bone marrow suppressant properties may cause a lack of therapeutic response to vitamin B12