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The interactions that occur from mixing alcohol with other drugs can cause dangerous side effects, which is why many clinicians instruct alcohol consumption to be reduced or eliminated while certain medications are being taken

Some common symptoms may include: Fatigue or weakness Nausea, vomiting, or diarrhoea Loss of appetite and weight loss Sore tongue or mouth Pale or yellowish skin Numbness or tingling in hands and feet Trouble walking, balancing, or speaking Vision problems Memory issues or confusion Depression, irritability, or personality changes Diagnosis Because symptoms can mimic other conditions, vitamin B12 deficiency can be difficult to diagnose

Therapy for a vitamin B12 deficiency If a vitamin B12 deficiency is detected in the blood via holotranscobalamin, the first question to be clarified is whether there are any dietary causes for this (vegetarian, vegan, malnutrition) or whether there is medication that favors this, such as metformin or acid blockers

Many people have reduced absorption due to age, medication, or digestive issues