Sea_gull
Forum Elite
Topics: 32
Posts: 179
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The patient is suffering from severe B12 deficiency and is anemic .You start B12 treatment.After a few days patient develops severe muscle weakness.The patient is annoyed that instead of improving ,he has deteriorated.What do you think what has happpened to him??
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| saadtazjam
Forum Elite
Topics: 9
Posts: 160
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Severe Combined Accue degeneration of the cord?????
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| cbenitesch
Forum Senior
Topics: 10
Posts: 141
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You should start with folic acid instead of B12, if the patient is depleted of Cbl starting with B12 can improve hematological features but it accelerates neuro damage... This is a case of wrong drug administration!? 
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| study_ing
Forum Fanatic
Topics: 180
Posts: 2,509
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hmm but isnt folate administration in the case of B12 deficiency coz worsening rather than versa
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