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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

Nausea and vomiting are usually the first symptoms to resolve, while appetite suppression and mild constipation may persist longer as the therapeutic effect becomes established

Debatri Datta Edited By Dr

Men with active infections, inflammatory conditions, or unexplained symptoms should address the underlying medical issue first rather than starting a performance or longevity protocol