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Additionally, people with Lebers disease, a rare hereditary optic nerve atrophy, should avoid vitamin B12 injections

However, a review of recent studies indicates that this is soon to change as more clinicians become aware of the unique advantages of nasal delivery of peptides and other therapeutics

Thus, it seems only plausible to act actively by providing vitamin supplementation in patients aiming at lowering Hcy levels, especially in older PwPD

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