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Hidaka H., Honkura Y., Ota J., Gorai S., Kawase T., and Kobayashi T., “Middle Ear Myoclonus Cured by Selective Tenotomy of the Tensor Tympani: Strategies for Targeted Intervention for Middle Ear Muscles,” Otology & Neurotology 34 (2013): 1552–1558

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However, speak with your care provider if you: – are allergic to vitamin B12 – have a genetic condition called optic atrophy – have blood in your urine – have polycythemia – have an ongoing infection – have low iron or folate levels – are pregnant or plan to become pregnant – are breastfeeding or plan to breastfeed Interactions Some medications, supplements, or over-the-counter drugs may interact with methylcobalamin