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Prophylaxis Removing a tick within 36 hours of attachment (the time required for Bb to move from the blacklegged tick gut to its salivary glands) minimizes risk of LD

for this reason, some clinicians recommend an intradermal test dose in individuals who may be at risk of thiamine allergy

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Additionally, Methylcobalamin has been used to treat Leber's disease, a rare inherited eye disorder

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