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Cyanocobalamin is contraindicated in these individuals as the cyanide moiety may worsen optic nerve damage

[DOI] [PubMed] [Google Scholar] 202.Shats I., Williams J.G., Liu J., Makarov M.V., Wu X., Lih F.B., Deterding L.J., Lim C., Xu X., Randall T.A., et al

Step 3: Check for Blood Vessels (Aspiration) This next step, known as aspiration, is a quick but critical safety check

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High-dose oral supplementation may be another treatment option, because consuming 1,000 g (1 mg) per day of vitamin B 12 orally should result in the absorption of about 10 g/day (1% of dose) by passive diffusion