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Patients with Leber's hereditary optic neuropathy should avoid cyanocobalamin (hydroxocobalamin is preferred in the UK)

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The active species is the cation C₁₀H₁₁N₂⁺ at 159.21 g/mol, and it is supplied as the iodide salt, C₁₀H₁₁IN₂, molecular weight 286.11 g/mol, CAS 42464-96-0