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The medications most commonly associated with B12 deficiencies include metformin (diabetes), antacids, anti-ulcers, blood pressure, cholesterol meds, and birth control pills (12, 13)

Human pharmacokinetics, adverse event frequencies, and drug interactions are unknown

Responsible Drinking Practices: Hydration as a Complement: While water is essential for overall health, it should be viewed as a complement to responsible drinking practices rather than a method to expedite sobriety

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However, the authors noted that a few cases have been overlooked, as they identified three additional cases meeting all serotonin syndrome criteria and 23 more cases with partial symptoms documented