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Formulations of cyanocobalamin injection containing benzyl alcohol as a preservative should also be avoided in premature neonates and those with hypersensitivity due to its association with gasping syndrome

The Ottawa Hospital Sterne JA, Hernn MA, Reeves BC et al (2016) ROBINS-I: a tool for assessing risk of bias in non-randomized studies of interventions

The most important takeaway is that lipotropic injections are supportive tools, not a replacement for healthy habits or provider guidance

1 Newer technologies used to evaluate DNA fragmentation and other sperm components, though not yet routinely used, may also inform the treatment approach