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Even simple anaemia affects many organ systems: fatigue, pallor, abdominal complaints, high heart rate, shortness of breath when climbing stairs, and dizziness

Further, NASO B12 was well-tolerated throughout the treatment period.[] Patients on metformin therapy receiving NASO B12 should also be instructed that they will require weekly intranasal administration of NASO B12 spray in each nostril after correction of vitamin B12 deficiency for the remainder of their lives

In the context of fip cat, maintaining adequate B12 levels is crucial due to its immune-enhancing properties and its involvement in red blood cell synthesis, nervous system function, and intestinal health

It tends to be most relevant for men whose testes can still respond to hormonal signaling