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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

The vertebrae forming your lower back is numbered L1 L5 and just below it S1 S5

And then, of course, we need to get all the doctors to actually absorb THAT information