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My GP has (eventually) referred me to both a rheumatologist and an endocrinologist for further investigations, so perhaps that will throw some light on the matter

Warnings: Patients with early Leber's disease (hereditary optic nerve atrophy) may experience severe and rapid optic atrophy when treated with vitamin B12. Additionally, treating severe megaloblastic anemia with vitamin B12 can lead to fatal hypokalemia due to increased erythrocyte potassium requirements