If you have certain rare conditions like Leber's disease (a hereditary eye disease), cyanocobalamin injections could potentially worsen vision problems
Its also required for your nerve cells to function normally
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These obstacles can be overcome by Dihexa, a synthetic, small molecule HGF mimetic that is orally bioavailable, metabolically stable, blood-brain barrier permeable, and inexpensive to synthesize (McCoy et al., Attenuation of aminoglycoside-induced hair cell death can result from two mechanistic categories: blockage of aminogly-coside uptake by hair cells or modulation of intracellular signaling pathways

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10.1111/j.1365-2605.2008.00866.x 20 ChristiansenS.ScholzeM.DalgaardM.VinggaardA