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Temperatures above 30C begin causing degradation

P., & Gatlin, L

Of the adverse experiences judged to be of "possible" relationship to the study drug, anxiety, incoordination, and nervousness were reported following intramuscular vitamin B12 and headache, nausea, and rhinitis were reported following dosing with Nascobal (Cyanocobalamin, USP) Gel for Intranasal Administration

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emphasizing the unrestricted effect of riboflavin on homocysteine metabolism despite MTHFR genotypes (91)