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With bacteriostatic water and proper cold storage, your reconstituted nasal spray is typically stable for up to 28 days from the date of preparation

Understanding this mechanism explains both the benefits and the potential for adverse reactions

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Certain groups are at higher risk, including older adults (due to reduced stomach acid production), individuals with pernicious anaemia (an autoimmune condition affecting B12 absorption), those who have undergone gastrointestinal surgery, and people with conditions such as Crohn's disease or coeliac disease

For the combination of these outcomes, the two medications were the same