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Injections have their place for potency and rapid effects, but nasal sprays are significantly more convenient and affordable, making them a fast-growing alternative

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20 In 2017, Paul and Brady came to similar conclusions that all four forms appear to be effective, although they point out research that shows that tissue retention of cyano-B12 is lower and urinary excretion higher than that of the other forms, although this statement is based on a review from 1965