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Caution is advised in patients with Leber optic atrophy, a genetic disorder caused by chronic cyanide intoxication (such as from smoking, alcohol or some plants), against the use of cyano-B12 due to its cyanide moiety, whilst hydroxo-B12 is a cyanide antagonist and can therefore be used in these patients

However, PRP has substantially more clinical evidence supporting its use and established safety profiles for numerous applications

D., Miller, J

Furthermore, some peptides may have specific side effects, which researchers must note before including in their studies

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