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Lord Fellowes kindly explained that as I suspected with the character Merton, the point of giving him the more serious Pernicious Anaemia was a key part in the story of Isobel being courted in series six
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Serious but rare complications: Hypokalaemia: Rapid B12 replacement in severely deficient patients can precipitate potassium depletion during haematopoietic recovery, potentially causing cardiac arrhythmias
Hormonal Side Effects Artificially elevated testosterone and estrogen levels from hCG in the absence of true deficiency may lead to symptoms like gynecomastia, acne, and emotional volatility in some individuals
The logic is straightforward: the clinical work involved in prescribing, supervising, and monitoring a protocol is the same regardless of which peptide is prescribed
