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Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections

Cynthia Karenina Osorto Contreras 6

It's recommended that your provider give you a test dose of cyanocobalamin before starting treatment to determine whether you're at risk of having an allergic reaction to the medication

Do not use if you are pregnant, nursing or may become pregnant