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25 Castelli MC, Friedman K, Sherry J et al (2011) Comparing the efficacy and tolerability of a new daily oral vitamin B12 formulation and intermittent intramuscular vitamin B12 in normalizing low cobalamin levels: a randomized, open-label, parallel-group study

This results in membrane instability and the release of DAMPs, triggering inflammation and hepatocyte injury

[PMC free article: PMC3367982] [PubMed: 22679394] 157

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Work backward from your target dose per spray to determine the concentration needed per milliliter, then calculate how much bacteriostatic water to add