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For those unable to get enough B12 from their diet or oral supplements, injections offer a highly effective alternative
Use of certain medications that may interact with B12 or choline metabolism (e.g., metformin, proton pump inhibitors, or anticholinergic drugs)
There are no other absolute contraindications reported for hydroxocobalamin use in deficiency states, but caution is advised in individuals with conditions such as early Lebers optic neuropathy (a rare hereditary optic atrophy) due to the theoretical risk of worsening vision
+ Hydroxocobalamin-B12 Is a vitamin which is important for the normal functioning of the brain and nervous system, and for the formation of blood
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