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From the advanced nasal devices, only the Precision Olfactory Delivery, the Optinose, and ViaNase devices (which are advanced nebulizer devices) have been used in human N-to-B studies to date [6]

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In summary, the reasons a GP surgery may refuse an early B12 injection are often rooted in a strict interpretation of established, but imperfect, guidelines, a misunderstanding of the actual science of B12 storage and metabolism, and a desire to maintain administrative consistency