Providers may prescribe cyanocobalamin, a human-made form of B12
[5] Avoid B12 shots if: You have kidney or liver disease
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Concomitant deficiencies (iron, folate), chronic illness, or drug interactions may blunt clinical response and warrant further evaluation
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