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Nascobal Nasal Spray is a solution of Cyanocobalamin, USP (vitamin B 12 ) for administration as a spray to the nasal mucosa

In the placebo group, patients lost 19.6% of total body weight on average and 60.4% of their excess weight

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McCrimmon RJ, Fan X, Cheng H, McNay E, Chan O, Shaw M, et al

GLP-1 receptor activation promotes insulin secretion in response to meals, suppresses glucagon release, slows gastric emptying, and reduces appetite by acting on satiety centres in the brain