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Yes, oral options are available but the benefits will be substantially decreased

This method bypasses the oral route where medicines and supplements often are not capable of being fully absorbed and used by the body

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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