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Patients with rhinorrhea (rhinitis) who are receiving the intranasal formulations of cyanocobalamin may experience decreased medication absorption secondary to nasal discharge

Since I had the doctors ear and even though I was not experiencing acute signs nor symptoms of low B12 (pernicious anemia), I took the opportunity to ask him about the possibility of beginning monthly vitamin B12 injections He was aware of my years of nursing practice and thoughtfully considered my request

Mild nausea, reported by a small number of patients after the first one or two injections