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Depletion Over Time: The body uses Vitamin B12 continuously for vital functions, and its levels can deplete over time

[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

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Minimally invasive and non-invasive options for trigeminal neuralgia when open surgery isnt ideal For patients who are not candidates for open surgery or general anesthesia, a percutaneous trigeminal rhizotomy may be useda needle procedure through the cheek to the Gasserian ganglion (the nerve cluster where trigeminal branches converge at the skull base)