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Cyanocobalamin is contraindicated in these individuals as the cyanide moiety may worsen optic nerve damage
Are you at risk of a vitamin B12 overdose
This shift in cellular chemistry is associated in rodent studies with altered substrate utilisation
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[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause
This will all be explained at your consultation that takes 15 to 30 minutes
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