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Piper, J

Brison DR, Houghton FD, Falconer D, et al

We used those parameters to winnow an initial list of 60 considerations down to a test set of 30

There are no other absolute contraindications reported for hydroxocobalamin use in deficiency states, but caution is advised in individuals with conditions such as early Lebers optic neuropathy (a rare hereditary optic atrophy) due to the theoretical risk of worsening vision