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European Journal of Nutrition
If specialist advice is not immediately available, consider the following: Initial treatment : IM hydroxocobalamin 1 mg once daily on alternate days until no further improvement
This deficiency can lead to fatigue, mood disturbances, and cognitive impairments
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Warnings: The use of cyanocobalamin is warned in patients with early Lebers disease as there have been reports of severe and swift optic atrophy with its administration
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