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Patients with uncontrolled hypertension, active infection, or certain cardiac conditions should consult providers before use

There could be a variety of reasons

You can have vitamin B12 deficiency anemia if you don't get enough vitamin B12 in your diet from foods like milk, eggs, and meat, or if your body can't absorb B12 because of a health problem

Calculate your dose based on current body weight, not target weight

For most healthy adults, a methyl b12 nasal spray is safe when used as directed

If youre anemic, your body does not have enough strong red blood cells to carry oxygen efficiently through your body, causing fatigue and weakness