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Malabsorption from coeliac disease, Crohns, gastric surgery or long-term metformin and proton-pump inhibitors accounts for much of the rest
Very high doses may occasionally cause hypokalaemia (low potassium), particularly in patients with severe megaloblastic anaemia when treatment is initiated, necessitating monitoring in hospital settings
Patients should follow the instructions supplied with their prescription and speak with a clinician or pharmacist if they have any questions about administration or handling
They may be able to point you to info about after effects of B12 jabs
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