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doi: 10.1126/SCIIMMUNOL.AAI7793 23 TooleyJEVudattuNChoiJCotsapasCDevineLRaddassiKet al

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WARNINGS Patients with early Lebers disease (hereditary optic nerve atrophy) who were treated with cyanocobalamin suffered severe and swift optic atrophy

On "how many capsules per day" there is no universal answer, because compounded capsule strength varies by pharmacy and by preparation (commonly in the low hundreds-of-micrograms to low-milligram range per capsule)