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In summary, the key interactions to consider are pyridoxines reduction of levodopa and anticonvulsant efficacy, niacinamides additive effects on blood pressure, blood sugar, and gout management, and the potential need for B-vitamin repletion in patients on certain medications (diuretics, isoniazid, etc.)

Therapeutic Research 56 (7), 656670

May reduce stress and boost mood B-complex vitamins are often used to reduce fatigue and boost mood

This ensures people get the right treatment for their B12 needs

What we DO know, however, is that only 20% (or even less) of the people with symptomatic B12 deficiency have anaemia or altered size of the red blood cells