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Serious reactions are uncommon, and a consultation helps identify anyone who should hold off or be monitored more closely
Patients with this condition or those with a family history suggestive of Lebers disease should avoid cyanocobalamin-containing products or use alternative forms of vitamin B12 such as hydroxocobalamin under careful medical supervision
Pediatric Use Safety and effectiveness in pediatric patients has not been established
& Rudel, L
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