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[79] [80] SNAC is able to form a noncovalent complex with cobalamin while preserving its chemical integrity and protect vitamin B 12 from gastric acidity

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These effects were dose-dependent, with the 54 mg dose (substantially higher than standard protocols) showing increased GI-related events

4 weeks 56 syringes 1 syringe per injection

This may result in sense loss, difficulty in proprioception, neuropathic pain, difficulty walking, poor balance, loss of sensation in the feet, muscle weakness, blurred vision (either due to retinopathy [27] or optic neuropathy [28] ), impaired urination, fertility problems, decreased sense of taste and smell, decreased level of consciousness, changes in reflexes, memory loss, mood swings, depression, irritability, cognitive impairment, confusion, anxiety, clumsiness, dementia, and, in more severe cases, psychosis