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The initial management of overdose: After a careful clinical evaluation of the patient the importance of time elapsed since last ingestion or administration, the amount of poison swallowed and discarding the contraindication of certain procedures, the professional will decide whether or not the treatment of general rescue: emesis or gastric lavage, activated charcoal and saline purgative (45 to 60 minutes after the activated carbon), hemodialysis

Symptoms of Low Vitamin B12 Levels You can tell if your vitamin B12 levels start to taper off or become low if you start feeling any of the following symptoms

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PMID 22415298