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Caution is advised in patients with Leber optic atrophy, a genetic disorder caused by chronic cyanide intoxication (such as from smoking, alcohol or some plants), against the use of cyano-B12 due to its cyanide moiety, whilst hydroxo-B12 is a cyanide antagonist and can therefore be used in these patients

Maintenance Once stores are replete, maintenance is 1mg every two to three months for deficiency of dietary origin, or every two months where there has been neurological involvement

Personalized Treatment Plans for Effective Results He creates customized treatment plans based on a thorough understanding of each patients medical history, symptoms, and specific needs

Nevertheless, observational studies such as these cannot determine whether low levels of vitamin B12 were the cause of the weight gain or whether higher levels of vitamin B12 protected against lower levels