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Injections and oral supplements can address a deficiency, but you can also adjust your diet to add B12-rich foods

The starting dosage of cyanocobalamin (vitamin B12) nasal spray is 500 mcg (1 spray) in one nostril once weekly

This helps ensure a smooth and even dissolution process

Additionally, it affects the development of strong nails and shinier hair

Importantly, functional B12 deficiency can sometimes coexist with high total B12 levels, especially in kidney disease, and may require additional testing with methylmalonic acid (MMA) or holotranscobalamin if deficiency is suspected clinically

J Clin Invest 38 : 484488 Richelsen B (1997) Action of growth hormone in adipose tissue