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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

These products have not received the safety and quality review of the FDA, and have not adequately been tested on humans like other more rigorously tested products like GLP-1 drugs

For short-term use (days to weeks), refrigeration at 4C (39F) is acceptable

These vitamins work together to enhance energy production, support brain function, and improve mood

In that case, a doctor will likely recommend B12 shots to get their levels up to where they should be