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Uncommon but notable adverse effects include: Hypokalaemia (low potassium) can occur during initial treatment of severe megaloblastic anaemia, as rapid cell production consumes potassium

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Intramuscular injections must be delivered into the deltoid, vastus lateralis (thigh), or ventrogluteal site using a 11.5 inch, 2225 gauge needle at a 90-degree angle

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