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5) Vital component in laboratory studies for understanding enzymatic reactions and cellular responses to oxidative damage

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That means: Hypokalemia can develop or worsen which can lead to: Cardiac arrhythmias Muscle weakness QT prolongation In severe cases, sudden cardiovascular instability This is a classic board-style pearl that many clinicians forget because B12 feels benign. But in profoundly deficient patientsespecially those with severe megaloblastic anemiarepletion is metabolically active treatment

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FPLD is a severe metabolic disorder that often leads to cardiovascular and skeletal muscle complications

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