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JAMA Ophthalmol [Internet]

It can be a persistent annoyance that affects daily activities and sleep

Circulation Research

Dosing is typically increased gradually over 1620 weeks to reduce side effects like nausea

This is especially important if you have any of the following Deficiency of folic acid Hypokalemia Iron deficiency Leber's disease Optic nerve damage Few other precautions you need to take include the following Inform your doctor if you are allergic to cobalt or vitamin B12