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Decreased activity of intestinal and urinary intrinsic factor receptor in Grasbeck-Imerslund disease
Is it hard to inject yourself
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
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