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Haematological symptoms often appear first

Patients with early Leber's disease (hereditary optic nerve atrophy) who were treated with cyanocobalamin suffered severe and swift optic atrophy

Some of your equipment will need to be disposed of in the sharps bin, and the rest can be disposed of in your household rubbish

Your provider reviews your symptoms, medical history, diet, and labs when indicated

Effects can last a week or longer depending on your body and how often you get the injections

For the push, I routinely stick (pun intended) to a 23 gauge needle, though your doctor or pharmacist may have their own opinions on needle gauge or even syringe volume