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Delivering the vitamin directly into the muscle or through the nose bypasses a damaged digestive system to quickly repair the nerves.Vitamin B12 (IM/nasal) Generic Name: Cyanocobalamin / Methylcobalamin US Brand Names: Nascobal (Nasal Spray), Cobolin-M, generic Cyanocobalamin injection vials Route of Administration: Intramuscular (IM) Injection, Intranasal (Nasal Spray) FDA Approval Status: Fully FDA-approved in the United States and globally recognized as an essential medicine to treat Vitamin B12 deficiency, pernicious anemia, and associated neurological complications

doi: 10.1038/nrd4002

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For residents of the presidio at Tucson, the Gadsden Purchase required that a choice be made: remain in Tucson and accept American sovereignty, or leave the community and resettle across the new border in Sonora, perhaps at the old presidio of Santa Cruz