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Severe liver dysfunction, as the liver plays a key role in metabolizing lipotropic compounds

Discontinuation usually leads to gradual return to pre-treatment status over several months

Hypokalaemia represents a potentially serious complication during the initial treatment of severe megaloblastic anaemia, as rapid cell production depletes potassium stores

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Weight loss plateaus are common as the body adapts to reduced calorie intake and lower body weight

It has been used to treat neurological diseases such as Huntingtons chorea, Tourettes disease, cerebellar ataxia and certain types of seizures