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Fatal hypokalemia may occur when severe megaloblastic anemia is treated intensively with vitamin B12, as a result of increased erythrocyte potassium requirements

That subtle onset means many people suffer unnecessarily for years before getting proper treatment

It is not a human-use protocol, administration guide, or clinical recommendation

E63.8 - Other specified nutritional deficiencies: Sometimes, Vitamin B12 deficiency is part of a more complex nutritional deficiency, and this code is used in such cases