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In this study, we have identified a new usage strategy for nasal sprays available over-the-counter, that registers an average 8-fold improvement in topical delivery of drugs at diseased sites, when compared to prevalent spray techniques

The original poster's symptoms sound like normal B12 neurological recovery symptoms to me - similar to those experienced by me and many others here

Poor sleep can lead to increased oxidative stress

While insomnia is not listed among common adverse reactions in FDA prescribing information or major clinical trials, some patients report sleep disturbances during treatment

While the injectable route of administration in Semaglutide / Cyanocobalamin Injection bypasses the need for gastrointestinal absorption, patients receiving high-dose or long-term metformin therapy may have increased B12 requirements that should be considered when determining appropriate dosing