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Your body makes thousands of these naturally to keep everything running smoothly, from healing wounds to regulating your immune system

[27] Additionally, anyone with Lebers hereditary optic neuropathy (a rare inherited eye disease) must avoid cyanocobalamin injections, since B can precipitate rapid worsening of that condition

However, other underlying deficiencies or undiagnosed illnesses may be present that have not been tested for

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A commenter suggested CMS consider a multidisciplinary, system-level approach rather than holding the ASM participant responsible for the activity at the individual level