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Cyanocobalamin is not a suitable form of vitamin B12 for the treatment of optic neuropathies associated with raised plasma concentrations of cyanocobalamin

doi:10.2143/AC.62.6.2024017 Shankle WR, Hara J, Barrentine LW, Curole MV

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The healthcare professional may listen to the flow in the carotid arteries in the neck for an abnormal sound (bruit) since carotid artery stenosis (narrowing of the artery) can transmit a sound to the ear that may cause tinnitus

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If your levels are in the intermediate range, your doctor may also test your levels of MMA and homocysteine