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She was skin tested to three commer- cial preparations of injectable cyanoco- balamin and to the benzyl alcohol (0.9%) preservative found in each

This type of damage, often called cochlear synaptopathy, results from noise exposure causing a loss of synapses between cochlear hair cells and auditory nerve fibers, without affecting hair cell survival or audiometric thresholds 14

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The agency typically issues a final decision four to nine months after the comment period closes, putting an answer somewhere in the November 2026 to March 2027 window