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Intramuscular hydroxocobalamin is the preferred treatment for most patients with confirmed deficiency, particularly when malabsorption is present or neurological symptoms exist

23 The PTT, PT, and thrombin time (TT) were unchanged with injection of these agents into whole blood

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Hypokalaemia represents a potentially serious complication during the initial treatment of severe megaloblastic anaemia, as rapid cell production depletes potassium stores

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