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By the time she got treatment, in this case pan retinal laser photocoagulation (PRP) (seen as the scattered bright white spots in the color photography that act as window defects in the fluorescein due to the loss of pigment epithelium and overlying retina) the treatment was too late to arrest the progressive ischemic retinopathy

doi: 10.1089/ars.2010.3275 26 KieliszekM

Medical Conditions Requiring Caution Some health issues make cyanocobalamin use dangerous

Nonpharmacological ADHD interventions are often employed as an adjunct therapy to pharmacological treatment, particularly when targeting specific functional impairments, and these represent important options for patients who refuse or are unable to take stimulants [3,65,67]