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Medical Conditions Requiring Caution: Individuals with heart conditions Those with liver or kidney disease People with metabolic disorders Patients with Leber's disease (affecting the optic nerve) Those with low potassium levels (hypokalemia) [12] Pregnancy and breastfeeding present special considerations for MIC B12 treatment

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Pregnancy Cyanocobalamin is a medication of the FDA pregnancy category C

[11] [12] Discuss thoroughly with your obstetric or pediatric provider

Withdraw the needle and check that you have the correct volume

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