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Neutrophils in lupus patients undergo increased NETosis, releasing nuclear material that further drives autoantibody production and immune complex formation

And finally, monitoring potassium is more relevant in patients with any pre-existing renal or cardiac disease, or other risk factors rather than universally in all patients receiving methylcobalamin

Proper supplementation can help manage these risks effectively

B.et al (2017)

Some drugs, such as metformin or proton pump inhibitors, may impair B12 absorption by altering stomach acidity or intestinal function