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European Journal of Endocrinology (1998) 6

they should discuss appropriate supplement choices with their midwife, GP, or dietitian

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Seizure medications such as phenytoin and phenobarbital, as well as diabetes medications like metformin, can lower B12 levels over time

Conclusions Organic acid metabolism disorders usually arise from enzyme deficiencies involved in amino acid degradation, resulting in the accumulation of organic acid in the brain and other tissues

[PMID: 2748504] PubMed record related to this compound for laboratory literature review