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Optic nerve atrophy can worsen in patients whose methylcobalamin levels are already elevated
Blood or Platelet Transfusions: In severe cases, platelet transfusions can provide immediate relief and prevent excessive bleeding
Each mL of the solution contains 1,000 mcg of cyanocobalamin
14(2):153 to 167
It's finding a supplier that can prove what's in the vial
However a blood test is not mandatory to begin treatment if your symptoms and clinical history are consistent with deficiency
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