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The most common side effects of using NASO B12 NASAL SPRAY are headache, weakness, inflamed/swollen tongue, burning/prickling sensation in arms/legs, nausea, and/or stuffy nose

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But for individuals without a colon and/or terminal ileum, such as those with an ileostomy, ileoanal pouch (ipouch), or urostomy, the risk of vitamin B12 deficiency is alarmingly under-recognised