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Cyanocobalamin is contraindicated in these individuals as the cyanide moiety may worsen optic nerve damage

If a patients CBC shows anemia that wont go away, we might need to change their vitamin B12 dose or find other causes

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[DOI] [PubMed] [Google Scholar] 202.Shats I., Williams J.G., Liu J., Makarov M.V., Wu X., Lih F.B., Deterding L.J., Lim C., Xu X., Randall T.A., et al

Step 3: Check for Blood Vessels (Aspiration) This next step, known as aspiration, is a quick but critical safety check