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Hypokalemia: In extremely rare cases, B12 injections may lead to low potassium levels in the blood, known as hypokalemia

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While menstrual irregularities were not systematically reported as adverse events in published results, the substantial weight loss achieved (approximately 20.9% with the 15 mg dose) would be expected to influence reproductive hormone dynamics in premenopausal women based on established weight loss physiology

Vitamin B12 deficiency: An update on diagnosis and management

Once the immediate deficiency is corrected, the frequency is reduced to weekly and eventually monthly sessions