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The compound does not appear in any approved pharmaceutical database in the United States or European Union
Patients would come in and, "Oh, tweaked my knee, tore my ACL, tore my meniscus," whatever
Since the list of contraindications of Vit B12 is really restrained to Leber optic neuropathy as it may aggravate it and to advanced renal failure since the injections may include aluminum in its components, we may suggest to consider systematically supplementing PD patients with B12 in the absence of contraindications or potential adverse effects (McCarter et al
If severe B12 deficiency with neurological involvement is suspected, treatment should be initiated promptly without waiting for test results, and specialist advice may be needed
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