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However, seniors often have complex medical histories, multiple medications, and different metabolic ratesfactors that require thoughtful prescribing and monitoring rather than blanket age-based restrictions

Individuals with active cancer or recent cancer history face theoretical concerns about angiogenesis promotion

There are anecdotal reports of adverse effects such as injection site pain, anxiety, insomnia, headaches, dizziness, and gastrointestinal discomfort, but these are not well-documented in clinical studies

We use methylcobalamin (B12 5000 mcg/mL) , not synthetic cyanocobalamin, and follow sterile, evidence-based procedures

The management of hyperkalemia is reviewed in what follows (see also the supplementary material dedicated to the management of hyperkalemia)