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Before starting NASOCOBAL 250MCG NASAL SPRAY, consult your doctor if you have early Lebers disease or show signs of low folate or iron levels in your blood, like extreme fatigue, sore or red tongue, muscle weakness, and tingling in your arms or legs

Because the vitamin is injected directly into the bloodstream, patients often feel results within hours to a few days

Lovejoy JC, et al

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