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Despite the alarming prevalence and consequences of PN, there exists a gap in its diagnosis and management, particularly in the context of DPN

Total delivery is 200 mcg per spray and 20 mg per bottle

Without it, communication in the nervous system weakens, creating stress that may manifest as irritability, low mood, or heightened anxiety

Lipotropic injections are generally not recommended during pregnancy or breastfeeding, for people with a known allergy to any component of the formulation (including B12/cobalt), for those with certain kidney or liver conditions, or for those with certain medical conditions

The results may reveal oral treatment with vitamin B12 to be, as Lederle [35] put it, medicines best kept secret