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The most frequent cause of the deficiency is pernicious anemia.[1] The only Indian report of cutaneous hyperpigmentation due to vitamin B 12 deficiency is of a ten-month-old male child who was exclusively breastfed till three months of age and thereafter received diluted cows milk and occasional cereals.[3] Although the authors do not mention the cause of deficiency, it appears to be inadequate dietary intake

Sadasivan, S., & Friedman, J

Corresponding improvements in insulin resistance and triglyceride levels were also observed [4]

Laboratory Tests: During the initial treatment of patients with pernicious anemia, serum potassium must be observed closely the first 48 hours and potassium replaced if necessary

Carbohydrate timing around AOD-9604 administration matters