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Medications like omeprazole, cimetidine, lansoprazole, and folate can interfere with B12 absorption

Growth hormone secretagogues sit in a similar bucket, with lots of interest, limited human evidence, and gray-market sourcing that makes verification almost impossible

To prevent this, most multi-dose aqueous nasal sprays contain antimicrobial preservatives (most commonly benzalkonium chloride at 0.010.02% w/v, often combined with EDTA as a chelating agent)