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Warnings Patients with early Leber's disease (hereditary optic nerve atrophy) who were treated with cyanocobalamin suffered severe and swift optic atrophy
Currently, there is no practical way to measure individual NNMT activity to predict response
The blood level of methylmalonic acid increases when a person has B 12 deficiency
[26] Individuals with severe liver disease or with a condition called metabolic acidosis are also contraindicated for Lipo-B
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