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[27] Additionally, anyone with Lebers hereditary optic neuropathy (a rare inherited eye disease) must avoid cyanocobalamin injections, since B can precipitate rapid worsening of that condition

Not instantly, not miraculously, but measurably

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doi: 10.1128/JVI.76.10.5260-5265.2002 143 GallagherGRBrehmMAFinbergRWBartonBAShultzLDGreinerDLet al

Then, the healthcare worker will inject the Vitamin B12 injection on your upper arm, upper buttocks, or thighs in case of an intramuscular injection