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Patients with Lebers hereditary optic neuropathy should not receive cyanocobalamin injections

Patients should have a baseline complete blood cell count (to exclude lymphopenia) and liver enzyme testing, and they should be monitored for hypertension before and after initiation of therapy

Curr Med Sci

Acute bile duct obstruction from a stone is accompanied by abdominal pain and often fever and, as noted above, may produce marked increases in the ALT level

it cannot make a high dose appropriate for a low-substrate body, remove the heart-rate tail in a sensitive person, or guarantee anyone reaches 15 mg in real life

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