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The most dangerous window is the first 48 hours to two weeks of correcting severe deficiency, when restarted red cell production can cause hypokalemia (with reported fatal arrhythmias), rebound thrombocytosis, gout flares, and pulmonary edema in fragile patients—so potassium should be checked at baseline and around day 3–7 in severely anemic patients (hemoglobin 6–8), those on diuretics, or those with kidney disease.

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Specification:10 ml x 10vials

Despite these seemingly normal results, the patient subsequently developed persistent cerebellar symptoms that did not resolve.21 Patients should undergo regular monitoring, which includes: assessment of hematological markers, measurement of MMA and tHcy levels, comprehensive neurological examinations