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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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However, if the underlying cause of your deficiency remains such as pernicious anemia or ongoing medication use that impairs absorption your B12 levels will gradually decline after discontinuation