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Potassium levels: In severe anemia, rapid red cell production can lower potassium

For patients who are found to be deficient or who have difficulty absorbing vitamin B12 from food or oral supplements, we offer convenient in-office B12 injections

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This is an honest limitation of the current evidence base

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hence, it is more preferable than cyanocobalamin for the treatment of vitamin B12 deficiency.[1][2][3][4] Cyanocobalamin does not naturally exist in foods owing to the presence of cyanide, which is absent in the natural form of the vitamin