Reported side effects of KPV have included [2, 14]: Brain fog Orange pigment left on the skin Skin irritation Gastrointestinal upset It is not recommended that KPV be administered to subjects who are nursing, may become pregnant, or are already pregnant
Acknowledgements The authors wish to thank the study participants in the BBC, the nursing staff at labor and delivery of the Boston Medical Center, as well as the field team for their contributions to the Boston Birth Cohort
22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity
Treatment decisions should always be made in consultation with qualified healthcare providers who can evaluate your specific condition and circumstances.