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Use with caution in patients with Lebers disease (hereditary optic nerve atrophy)
What Affects How Quickly B12 Works Several factors influence the speed and effectiveness of B12 treatment, making individual responses highly variable
Example: I10 (Essential HTN) I16.0 (Urgency)
The most important factor is consistency of timing and route day to day, since the mechanism works cumulatively rather than as an acute event to time around a meal
This improves patient results
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