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Summary Elevated vitamin B12 levels in the blood are usually a sign of an underlying health problem, not a cause of one

2. Stier H, Vos E, Kenley D

That means: Hypokalemia can develop or worsen which can lead to: Cardiac arrhythmias Muscle weakness QT prolongation In severe cases, sudden cardiovascular instability This is a classic board-style pearl that many clinicians forget because B12 feels benign. But in profoundly deficient patientsespecially those with severe megaloblastic anemiarepletion is metabolically active treatment

However, many people cant take iron tablets because of cramping, constipation and abdominal pain, and many other people find iron tablets just dont work