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People with Lebers hereditary optic neuropathy, a rare inherited optic nerve disorder, may be at risk of severe optic nerve damage with cyanocobalamin
PubMed Klicek, R., Kolenc, D., Suran, J., Drmic, D., Brcic, L., Aralica, G., Sever, M., Holjevac, J., Radic, B., Turudic, T., Kokot, A., Patrlj, L., Rucman, R., Seiwerth, S., & Sikiric, P
Though the GLP-1 shortage that initially allowed compounding has ended, "a regulatory loophole" allows compounders to continue to sell copycat versions if they customize the formulations, such as by adding vitamins, Bloomberg reports
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