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[21] When treated with cyanocobalamin, patients with Leber's disease may develop serious optic atrophy, possibly leading to blindness, based on few case reports

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Because it is essentially water without sufficient solute, direct intravenous administration can cause red blood cell lysis (hemolysis) due to its hypotonic nature

Remove any air bubbles by tapping the syringe and pushing gently on the plunger

For teams that do not need a broader metabolic format, this size offers a practical and controlled option

Symptoms include tingling, numbness, weakness, and difficulty keeping balance that may get worse with anemia