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Appropriate caution should be exercised while treating severe megaloblastic anemia with cyanocobalamin as intense treatment may lead to hypokalemia and sudden death
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This observed relation between low vitamin B-12 concentrations in pregnancy and child insulin resistance was also supported by data from Nepal, but supplementation of pregnant women with vitamin B-12containing micronutrients was not found to affect child HOMA-IR (40)

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They can recommend the best dosage for you or suggest alternative remedies
