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However, having too much potassium (hyperkalemia) may have a negative impact

Underlying health conditions: Some health conditions, such as gastrointestinal disorders or liver disease, can affect B12 absorption and metabolism, potentially leading to shorter-lasting benefits from B12 injections

Sci Pharm (2013) 81(2):56790.10.3797/scipharm.1301-16 128 McCormickJNeillWSimA

Consultation and Treatment Discussion The consultation reviews treatment options, including whether leucovorin / folinic acid may be appropriate

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