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But since your injection bypasses the gut, that particular interaction is not an issue for the injection itself

Follow a treatment plan : Your healthcare provider will recommend how often you need shots based on your levels and health goals

The optimal dosage and frequency are determined through consultation with healthcare professionals, who consider factors such as the underlying cause of deficiency, individual health status, and response to treatment

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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