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Cyanocobalamin Nasal Spray is a nasal spray available in a dosage strength of 500 mcg cyanocobalamin/0.1 mL (per actuation)

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It does not make it settled science

However, the lack of clinical trials means that there could potentially be serious BPC-157 side effects in humans, which remain unknown

[DOI] [PMC free article] [PubMed] [Google Scholar] 75.Arthur J.M., Forrest J.C., Boehme K.W., Kennedy J.L., Owens S., Herzog C., Liu J., Harville T.O

Although less common in this form than cyanocobalamine and methylcobalamine, hydroxocobalamine is also available as pills for oral or sublingual administration