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The incidence of adverse experiences described in the Table below are based on data from a short-term clinical trial in vitamin B12 deficient patients in hematologic remission receiving Nascobal (Cyanocobalamin, USP) Gel for Intranasal Administration (N=24) and intramuscular vitamin B12 (N=25)

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Although these symptoms can come from various causes, a lack of Vitamin B12 is one of the conditions that needs to be ruled out early because it is both common and treatable.