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Warnings Benzyl Alcohol: Patients who have early Leber's disease (LHON) a hereditary disease that causes optic nerve atrophy have been found to suffer severe and swift optic atrophy when treated with vitamin B12

Pervaiz Iqbal Qureshi, MD Internal Medicine, Medical Director at DripGym Last reviewed June, 2026

FDA-Approved Uses The FDA has approved cyanocobalamin for treating vitamin B12 deficiency

Furthermore, observation of patient compliance to daily oral B12 intake is difficult to assess and might affect patient biochemistry and outcomes long-term (Stabler et al., 2013)