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Ive found that patients who experience these side effects simply reduce the dosing and frequency of their B12 the symptoms usually resolve

Other targets such as sodium channels can also be affected by high doses of alcohol, and alteration in the numbers of these channels in chronic alcoholics is likely to be responsible for as well as other effects such as cardiac arrhythmia

For example, bacteriostatic substances in the blood, including antibiotics or cancer chemotherapeutic agents, inhibit the growth of the microorganism and interfere with the assay, producing misleadingly low serum vitamin B12 concentrations

doi: 10.1016/j.canlet.2025.217620 37 HuangTWenXLiangYLiuXZhaoJLongX

This reduces potential confounding factors in research and provides a highly specific tool for metabolic studies