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Use in Individuals with Lebers Disease People with Leber's neuropathy, should avoid receiving Methylcobalamin injections because it may worsen the degeneration of the optic nerve and result in permanent vision loss
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Recreational use of nitrous oxide Recreational use of nitrous oxide gas can cause vitamin B12 deficiency
[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause
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