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That means: Hypokalemia can develop or worsen which can lead to: Cardiac arrhythmias Muscle weakness QT prolongation In severe cases, sudden cardiovascular instability This is a classic board-style pearl that many clinicians forget because B12 feels benign. But in profoundly deficient patientsespecially those with severe megaloblastic anemiarepletion is metabolically active treatment

B12 is crucial for ATP production, supporting increased stamina, focus, and mental clarity

Coeliac disease is an autoinflammatory disease, with the only available treatment being a lifelong gluten-free diet

Avoid use in patients with known hypersensitivity to any component