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doi: 10.1080/09638288.2017.1383518 583 KoenigJESporAScalfoneNFrickerADStombaughJKnightRet al

Appropriate caution should be exercised while treating severe megaloblastic anemia with cyanocobalamin as intense treatment may lead to hypokalemia and sudden death

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However, it still needs to be used appropriately, especially if a person has symptoms or a confirmed deficiency

These properties were the basis for its original development as a candidate obesity drug