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While benign, the urinary discolouration may interfere with colorimetric laboratory analyses, and may impede intermittent haemodialysis due to the pigment distribution across the dialysate membrane triggering colorimetric blood leak sensors

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Risk of Hypokalemia (Low Potassium) Treatment with methylcobalamin can result in a boost in blood cell production in people with severe B12 deficiency and may potentially trigger hypokalemia

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Start anti-nausea medication proactively in week 4 before peak symptoms hit in weeks 6-8 rather than waiting until youre miserable