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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

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Ghrelin Antagonists: These peptides block the action of ghrelin, ultimately helping to decrease appetite and promote weight loss

Methycobal injection may help to improve symptoms such as muscle weakness and muscle spasms of carbohydrates, fats, and proteins