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For hematocrit and reticulocyte counts, recommendations are to repeat these tests daily from the 5th to 7th days of treatment and then frequently until the hematocrit returns to a normal range.[9][16][22] Both serum potassium concentrations and the platelet count need to be monitored carefully after parenteral administration of cyanocobalamin

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It is also more common in older adults, as the bodys ability to absorb vitamin B12 from food decreases with age

Goldstein, A.L