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Patients with Leber's hereditary optic neuropathy should avoid cyanocobalamin (hydroxocobalamin is preferred in the UK)
Theres also evidence that vitamin B2- also known as riboflavin may decrease 5-alpha reductase activity, though the mechanisms arent completely understood
It is how the triple-agonist profile may change what obesity medicine expects from a next-wave therapy
Furthermore, the micro-organisms of the microbiota actively participate in the drug metabolism at the level of the mucosa, thus affecting the very effectiveness of drug therapies
When taken in recommended doses, cyanocobalamin is typically well-tolerated during pregnancy
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