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Elevated blood glucose is a consideration for patients with prediabetes or insulin resistance, and we monitor for this during treatment

2013 Jul 17;61(28):6769-75

They cannot by themselves establish: A safe human amount A safe route of administration Long-term human safety Interaction risks Reproductive or developmental safety Clinical effectiveness Which individuals, if any, might be suitable for an authorised use The number of animal papers should not be presented as equivalent to a programme of large, well-controlled human clinical trials

Liver NASO B12 NASAL SPRAY should be used with caution in patients with liver problems