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For any patients presenting with compatible illness, inform the Victorian Poisons Information Centre on 13 11 26 who can provide clinical and specific testing advice

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While B12 is generally safe, caution is needed in specific clinical situations: Lebers Disease (Hereditary Optic Neuropathy): B12 injections are generally contraindicated or should be used with extreme caution, as they may potentially aggravate optic atrophy in this rare condition

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