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Adults: Pump the recommended dose directly into your mouth, hold for 30 seconds before swallowing to support absorption through the mouth's lining, then swallow
But fading them is absolutely your choice
Clinical assessment and full blood count showing macrocytic anaemia are also important, though neurological symptoms can occur without haematological changes
Compounding the physiological harms are sociocultural and structural barriers: poor health literacy, stigma, economic dependence on tobacco industries, and a dearth of accessible preventive oral healthcare services
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