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Cyanocobalamin formulations contain trace amounts of cyanide and are contraindicated in patients with Leber's hereditary optic neuropathy
Successful treatment is rarely measured by a single photo or one number on the scale
Keep vials in a dark environment UV light catalyzes oxidation of sensitive amino acids, particularly tryptophan and methionine residues
It is notable for its ability to traverse the blood-brain barrier, enabling systemic and central nervous system effects ( 1, 8 )
