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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

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The Human Protein Atlas

All clinical research must be conducted with oversight from the appropriate Institutional Review Board (IRB)

These issues usually go away by themselves

Alcohol swabs, clean gauze or cotton balls , and optionally a band-aid