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Clinical Pearl: Before parenteral B12, always think: Check potassium Prevent hypokalemic arrhythmia Medicine is often about anticipating the treatment complication before it happens

However, when general consumption of this vitamin through diet is extremely low or non-existent , as in vegans, direct administration of the liposomal form is often recommended to maximise the benefits of the vitamin, with total complementary intake guarantees

H., Komlakh, K

Selenium is required by sheep and cattle for growth, and is needed to produce a number of enzymes that are important to normal function

Guvenel A, Jozwik A, Ascough S, Ung SK, Paterson S, Kalyan M, et al

Although there is no upper limit for B12, excessive amounts may cause some digestive upset