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Specific Instructions for Administration Advise patients to administer NASCOBAL at least one hour before or one hour after ingestion of hot foods or liquids since hot foods may cause nasal secretions and a resulting loss of medication

While B12 is generally safe, caution is needed in specific clinical situations: Lebers Disease (Hereditary Optic Neuropathy): B12 injections are generally contraindicated or should be used with extreme caution, as they may potentially aggravate optic atrophy in this rare condition

Take Vitamin B12 in the morning to support energy levels

doi: 10.1007/s00011-017-1079-6, 13

current international guidelines recommend intravenous iron for patients with IBD and active disease, moderate to severe anaemia or intolerance to oral iron

Sagittal T2 FSE-weighted images showed a large lumbar hernia along the presumed site of the sinuvertebral nerve