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Nature 601 , 617622 (2022)

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

Dose-related side effects appear more pronounced with oral formulations due to higher required doses

What should I expect during a Glutathione IV drip session