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If you're experiencing warning signs (fever, shortness of breath, severe weakness), don't wait

All medical records were reviewed and additional studies were ordered as needed to ensure not an exhaustive workup, but a safe and reasonable standard of compliance, and a baseline to proceed with the study

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Lebers hereditary optic neuropathy, a rare genetic disorder affecting the optic nerve, has been associated with rapid optic atrophy following cyanocobalamin administration in some cases

Symptoms of Vitamin B12 Deficiency

Within the first week , many patients notice subtle improvements in energy levels and general wellbeing, though this is not universal