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This primarily stems from internal differences, like the amount of intrinsic factor released in the stomach or genetic defects (much like an MTHFR mutation)

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Resume after a week once skin has adjusted

You may face higher risk if any of these apply: Older age, or existing hearing loss Reduced kidney function Taking several ototoxic medications at once Long treatment courses or high doses Frequent exposure to loud noise If any of these fit, ask about a baseline hearing test before you start

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