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There are no other absolute contraindications reported for hydroxocobalamin use in deficiency states, but caution is advised in individuals with conditions such as early Lebers optic neuropathy (a rare hereditary optic atrophy) due to the theoretical risk of worsening vision
A consultation is required to assess candidacy and determine the appropriate protocol
While some users report feeling more sustained energy within the first two weeks, more noticeable changes in body composition and weight often appear after about 12 weeks of consistent use
Judging a protocol at eight weeks captures almost none of the potential effect
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