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Warnings: Use with caution in patients with renal impairment or severe renal disease

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doi:10.1038/nature13901

Cyanocobalamin Nasal Spray is a prescription medicine used: In people that have corrected or have fixed their short-term causes of vitamin B12 deficiency, the benefit of continued long-term use of Cyanocobalamin Nasal Spray is not known after vitamin B12 deficiency has been corrected