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For that reason, it can make Lebers optic atrophy worse, and nobody should ever use it in that case
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Before self-injecting, I always recommend seeking professional instruction from a certified healthcare practitioner

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When B12 levels are low, red blood cells can become large and inefficient, contributing to fatigue and weakness

Next, 1 ml (5 mg/ml) of dexamethasone and 5 ml of vitamin B12 (methylcobalamin, 0.5 mg/ml) (Fig
