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Inability to self-administer the intranasal spray, except with assistance from a spouse or home care nurse

Methylcobalamin plays a crucial role in energy production, nerve health, and cognitive support, making it an excellent choice for patients struggling with fatigue, brain fog, or mood imbalances

this increase is inversely correlated with serum autoantibody levels, indicating that Tfr cells may be protective in controlling autoantibody production and preserving immunological homeostasis (148)