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What spoiled B12 looks like A vial that is cloudy, discoloured, has visible particles or an unusual smell should not be used

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Other metabolic side effects could be hypokalemia (low potassium levels in the body), extreme thirst, rapid weight gain, frequent urination and/or unexplained bleeding or bruising

Plasma exchange and intravenous immunoglobulin monotherapy may be used in patients with resistance

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Increased daytime sleepiness and unintentionally falling asleep impair the ability to drive and thus restrict the individual mobility