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Vitamin B12 deficiency is primarily caused by autoimmune pernicious anemia, dietary restrictions such as vegetarian or vegan diets, and medical conditions that interfere with absorption such as celiac and Crohns disease
Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber's disease
Topical products are usually measured by concentration and application amount
If in doubt, discard it
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