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all hematologic parameters should be normal before beginning the cyanocobalamin intranasal formulations

Other populations at risk include people who had gastrointestinal surgery (including weight loss surgery) and diseases that affect the gut, such as Crohn's disease or celiac disease

Studies in animal models have shown it may help protect and repair the lining of the stomach and intestines, with research exploring its effects on gastric ulcers, inflammatory bowel conditions, and intestinal tissue damage

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Anonymized examples include those shown in Figure 6

Methylcobalamin is an active coenzyme form, but clinical evidence does not demonstrate superior efficacy over cyanocobalamin for most people