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Scavo LM, Karas M, Murray M, Leroith D

Study number 13 described in the Table showed that this effluent colouration produced a false alarm and automatic hemodialysis machine shutdown, which continued for nine days.13,17 Five cases of V-B12 administered for CN toxicity (not included in our analysis) similarly caused false blood leak alarms with pink or purple pigmentation of body fluids.13,17 Although no other major side effects (other than hypertension) are noted, physicians should be aware of less commonly reported effects, including rash, skin reddening, headache, nausea, pruritus, chest discomfort, decreased lymphocytes, and dysphagia.10,14,17 Nurses, support personnel, and family members must be informed that the discolouration of urine and body fluids is expected and not harmful

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

J Patient Exp 2021;8:2374373521998842

Or they add additional injections to complement their MIC injection protocol, such as injections of B6 and/or B12

A deficiency in vitamin B12 in pregnancy can lead to serious complications, including developmental delays, neural tube defects, and maternal fatigue or anaemia