Medications : Certain medications, like metformin (for diabetes) and proton pump inhibitors (for acid reflux), can interfere with B12 absorption
"NAT2 global landscape: Genetic diversity and acetylation statuses from a systematic review"
Call your healthcare provider right away if you experience: Persistent vomiting Severe abdominal pain, especially if it radiates to the back Signs of dehydration, such as dizziness, very dark urine, weakness, or inability to keep fluids down Severe constipation or no bowel movement with pain and bloating Symptoms of gallbladder problems, such as upper right abdominal pain, fever, yellowing of the skin or eyes, or clay-colored stools Nausea that does not improve or prevents you from eating enough Nutrition support is powerful, but it does not replace medical evaluation when symptoms are severe
Can Vet J
A 2014 analysis in the International Journal of Risk and Safety in Medicine reviewed 201 case reports of antidepressant and alcohol interactions