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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)
Taking vitamin B12 sublingually may also be a good option for people with a condition called pernicious anemia
Metformin, commonly prescribed for type 2 diabetes, is known to reduce B12 absorption over time, as highlighted in MHRA safety updates
Which form (and whether either is right for you) is decided with your provider based on your goals and health history not something to guess at from a forum
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