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No such reactions have been reported in clinical trials with Nascobal Nasal Spray or Nascobal Nasal Gel

For more information about generic drug approval and bioequivalence, you can visit the FDA website: Dosage: Generic cyanocobalamin is available in different forms and strengths: Vials: 1000 mcg/ml in 10 ml and 30 ml vials Ampoules: 1000 mcg/ml in 1 ml ampoules Your doctor will determine the appropriate dosage based on the individual needs and medical conditions

Headaches or Fatigue: Oddly enough, some people report feeling more tired or getting a headache after the shot