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Some healthcare professionals may recommend the combination because of theoretical considerations

A: Before receiving Methycobal Injection, inform your doctor if you have Leber's disease (inherited form of vision loss), signs of low potassium level in blood such as muscle twitches/cramps, low blood pressure, faintness, and/or excessive urination/thirst, or are suffering from optic nerve disease (swelling and nerve damage to the eyes), or have kidney problems or liver problems

the invention encompasses cations of Formula I, wherein: R 1 is C 1-4 alkyl R 2 , R 3 , R 4 , and R 5 are independently selected from the group consisting of: H, C1-4 alkyl, halogen-substituted C 1-4 alkyl, NR 9 R 10 , and CN