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Defer use of Cyanocobalamin Nasal Spray in patients with nasal congestion, allergic rhinitis, or upper respiratory infections until after symptoms have subsided

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The immune system can attack the cells that produce intrinsic factor, which is essential for B12 absorption

Treatments (Clinical) Clinical management of malnutrition and cachexia involves a multidisciplinary team approach including the physician, registered dietitian, speech-language pathologist (for dysphagia), pharmacist, and social worker