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Machado, L., Goncalves, P., Barreto, C., Perazzolo, L.M., and Rosa, R.D., J
Optional: Tilt head back for 1-2 minutes after spraying
Educate patients on knowledge gaps and risks
Patients with early hereditary optic nerve atrophy, cyanocobalmin hypersensitivity, and those who are pregnant
The form, dose, and timing are worth recording, and further workup becomes necessary if the elevation persists once those sources are accounted for, or if symptoms, examination findings, or other labs raise concern
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