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Optic Nerve Atrophy: Administering cyanocobalamin to patients with Leber's disease or hereditary optic nerve atrophy should be done cautiously, as it may worsen the condition

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This evidence gap reflects several factors including lack of pharmaceutical company funding (peptides not patentable, unprofitable versus proprietary drugs), regulatory challenges (FDA approval process expensive), and peptide use primarily occurring outside mainstream medicine in research chemical/biohacking communities

This can cause a gradual loss of vision and result in blind spots

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