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Prior to administration of Methylcobalamin Injection, tell your physician if you have Lebers disease (hereditary eye loss) and/or are experiencing low potassium levels (with related symptoms like muscle twitches/cramps, low blood pressure), optic nerve disease (enlargement and encephalopathy of the eyes), and kidney and/or liver disease

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Blood Disorders and Systemic Effects The biochemical cascade triggered by nitrous oxides inactivation of vitamin B12 manifests primarily through severe hematologic and systemic complications