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Vitamin B12 likewise connects with folate in the body, so it could help reduce the danger of abnormality, such as neural tube flaws

doi: 10.1007/s00403-009-1001-3 94

Patients with this condition or those with a family history suggestive of Lebers disease should avoid cyanocobalamin-containing products or use alternative forms of vitamin B12 such as hydroxocobalamin under careful medical supervision