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Peripheral neuropathy, subacute combined degeneration of the spinal cord, or cognitive impairment indicate more advanced deficiency and generally require intensive treatment over extended periods
Disclaimer: Methylcobalamin B12 Injection is an elective wellness service intended to support natural energy, cognitive clarity and general wellbeing
However, this is only temporary and can usually be reversed with folate supplements
Methylcobalamin should not be used in patients with early hereditary optic nerve atrophy (Lebers disease)
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