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[7] Vitamin D toxicity presents chiefly as sustained hypercalcaemia with nausea, vomiting, muscle weakness, neurocognitive changes, or arrhythmias, progressing to nephrocalcinosis if untreated

Some people start with weekly injections to restore their levels and then transition to a monthly schedule for maintenance

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It then moves down the esophagus into the stomach, where cells release acid, the enzyme pepsin, and a protein called haptocorrin (HC) to protect B12