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Anytime patients tell me they have a reaction from taking B vitamins, like nausea or some kind of digestive symptom, I automatically think that they might have some microbial issue

Hypokalaemia (Low Potassium): In rare cases of severe anaemia corrected rapidly, serum potassium levels can drop rapidly, leading to symptoms such as muscle weakness or an irregular heartbeat

According to the DailyMed label, it is given by intramuscular or subcutaneous injection and is not for intravenous use

Folate is needed for development and growth of cells (including red blood cells) and synthesis of DNA (genetic material)

- No manufacturer-published in-use stability past "conservative 14 days refrigerated." - Lyophilized powder quality varies by supplier