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albus seeds, which contain higher levels of alkaloidsspecifically quinolizidine alkaloids, a group of about 100 bitter compoundscan lead to cramps, vomiting, and even death due to respiratory paralysis

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In such cases, the focus should shift to investigating potential underlying causessuch as myeloproliferative disorders, liver disease, or renal dysfunctionrather than attributing symptoms to the elevated B12 itself