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[9] Visual disturbances have been reported in patients with Leber hereditary optic neuropathy, and rapid B12 administration may precipitate optic nerve atrophy in this genetically predisposed population, mandating extreme caution or alternative therapy

If your clinic offers these services, set expectations around the full program (coaching, energy balance, and adherence) rather than the injection alone

While vitamin B12 injections do help with inflammation as well as nerve and muscle regeneration, patients should be aware that the results may not be as fast or dramatic as with corticosteroids

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