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It highlights the limits of passive surveillance and emphasizes cautious, evidence-based practice
Caution is advised in patients with Leber optic atrophy, a genetic disorder caused by chronic cyanide intoxication (such as from smoking, alcohol or some plants), against the use of cyano-B12 due to its cyanide moiety, whilst hydroxo-B12 is a cyanide antagonist and can therefore be used in these patients
Pregnant or Breastfeeding Women: B12 is essential for the baby's and mother's health
A trained provider can properly assess your health, lifestyle, and wellness goals to create a personalized plan with the right dosage and schedule for you
Both are effective, but it is essential to provide your healthcare provider with your full medical history
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