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One study found that the lowest dose of cyanocobalamin required to correct B12 deficiency in seniors is more than 200 times greater than the recommended dietary allowance (approximately 3 g daily)

Severe Hypokalemia: A Critical Drop in Potassium Levels One of the most serious complications of B12 replacement therapy in severe megaloblastic anemia (a type of anemia where blood cells are abnormally large) is the development of severe hypokalemia (dangerously low potassium levels in the blood)

Common causes include inadequate dietary intake, particularly in those following strict vegetarian or vegan diets that exclude meat, eggs, and dairythe primary sources of B12

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