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Note: For complete details, please review product monographs at and regularly review current Health Canada advisories, warnings and recalls at: for the most up to date information.) Table 4: Treatment of B 12 deficiency (adapted from Means 2021) 27 Note: Intranasal administration is generally not used

While the benzyl alcohol is there to protect the solution, it's not invincible, and its effectiveness has a known lifespan

In older adults, secretion of hydrochloric acid in the stomach is reduced significantly, which can lead to poor absorption of vitamin B12

Additionally, hGH can inhibit lipoprotein lipase in adipose tissue, causing lipolysis and leading to decreases in fat cell mass (2)