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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

This treatment should be considered only when an oral supplement has not proven effective and if the person has no known allergies or hypersensitivity to glutathione

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Pathologies associated with chronic alcohol consumption are determined by the volume of alcohol consumed, the pattern of drinking and the quality of the alcohol consumed