Serious adverse effects are uncommon but can include blood clots (for example, in the legs or lungs), high red blood cell count, swelling due to fluid retention, liver problems, or effects on the heart (especially in older men)
Follow-up Care Follow-up care is essential in the treatment of vitamin B12 deficiency to ensure that levels are being adequately maintained and to monitor for any potential complications
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Once inside the enterocytes, B12 is released from intrinsic factor and binds to transcobalamin II, forming holotranscobalamin, the biologically active form that enters the bloodstream
Uric acid, urea, and ammonia concentrations in serum and uric acid concentration in excreta as indicators of amino acid utilization in diets for broilers