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Hypokalemia and thrombocytosis could occur upon conversion of severe megaloblastic to normal erythropoiesis with B12 therapy

10.1254/jphs.fp0072161 65 KolovratM.GojkovicS.KrezicI.MalekinusicD.VrdoljakB.Kasnik KovacK.et al (2020)

However, observational studies suggest that whilst acute toxicity remains exceptionally rare, sustained very high levels of B12particularly from supplements or injectionsmay be associated with certain health concerns, though these are correlations rather than proven causal relationships

Although B12 is a water-soluble vitamin (aka youll pee out the excess your bod doesnt use), you still shouldnt add a supplement without a trip to your doctor to test your vitamin levels

It tends to accumulate in the body, therefore it is prescribed by the doctor in courses

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