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[9] Visual disturbances have been reported in patients with Leber hereditary optic neuropathy, and rapid B12 administration may precipitate optic nerve atrophy in this genetically predisposed population, mandating extreme caution or alternative therapy

In these situations, its usually recommended that you supplement your diet with either a B12 shot or oral supplement

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This step-by-step guide is designed to help you understand the general process, but remember, the specifics might vary based on your medication and device

Aside from that, B12 shots also have higher absorption rates than oral supplements, most of which are lost to urine