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The disease is rarely fatal

Nasal spray considerations: Typically lower bioavailability than injection, requiring somewhat higher doses Faster onset in some users due to direct CNS access More convenient and less intimidating for needle-averse individuals Requires properly calibrated spray bottles for accurate dosing Converting from injectable to nasal dosing is not straightforward

The study found that daily supplementation with at least 400 IU of synthetic vitamin E (equivalent to 180 mg of RRR --tocopherol) resulted in a 4% increase in risk of death from any cause compared to placebo (125)