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Symptoms of deficiency or certain health conditions may also indicate the need for supplementation

The approach to treatment depends on the individual but may include cognitive behavioral therapy, hearing aids, various types of sound therapy, neuronal modulation, medication, or cochlear implants

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Patients with Leber's hereditary optic neuropathy should avoid cyanocobalamin (hydroxocobalamin is preferred in the UK)

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Injecting in the wrong area can cause an abscess to form under the skin To avoid this only inject in the area recommended by your nurse or doctor