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This is sterile water with 0.9% benzyl alcohol, which prevents bacterial growth and allows for multiple draws from the same vial

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Mullane explains that if you have digestion problems or are coeliac then using a spray ensures that the nutrient is absorbed in the mouth and bypasses the digestive system

However, some patients may experience mild side effects such as redness or irritation at the injection site, headaches, or transient fatigue