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At Cienega Medical we do refrain from treating individuals under the age of 16 however

Daily supplementation may need to be continued, but cobalamin blood levels could be monitored with less frequent dosing to see if decreased frequency of administration is adequate

If you have any doubts about whether the medication has been stored properly or if it was left at room temperature for an extended time, contact the pharmacy or your healthcare provider for advice

Like most treatments, vitamin B12 injections carry warnings that patients should be aware of, including: Hereditary Optic Nerve Atrophy: People with early Lebers disease (a hereditary form of optic nerve atrophy) should not receive cyanocobalamin injections, as rapid and severe vision loss has occurred

Once the vial is first punctured, the risk of contamination increases, and additional precautions may be necessary