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Regarding FDA approval: because this is a compounded product, it is not directly FDA-approved

Addressing this concern, Hyderabad-based neurologist Dr Sudhir Kumar took to Twitter to note that while vitamin B12 deficiency is known to cause anaemia, peripheral neuropathy, dementia, psychosis and skin pigmentation, calling for supplementation, excessive vitaminB12 may have adverse effects on health and life. Excess of vitamin B12 may be hazardous 1

Intranasal Vitamin B12 Is Promising Therapy For The Geriatric Population Overview Vitamin B12 deficiency is prevalent among the elderly

But a vitamin B-12 injection contains about 1000 micrograms