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This supports the potential of compounded cyanocobalamin/SNAC as a practical alternative for patients who are injection/needle-averse , non-compliant with injections, or seeking a more convenient therapy even if their providers have traditionally used methylcobalamin in injectable form

Moreover, the capability of neurons to scavenge ROS through an autonomous approach is limited (Table 1)

Blanusa M, Varnai VM, Piasek M, Kostial K (2005) Chelators as antidotes of metal toxicity: therapeutic and experimental aspects

If available, offer access to pre-exposure prophylaxis (commonly called PrEP): antiviral medications shown to reduce HIV spread from engaging in risky sexual behaviors or high-risk injection drug use (Owens DK et al, JAMA 2019;321(22):22032213)