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One well-documented interaction is with certain anti-epileptic drugs: high-dose pyridoxine may reduce the plasma levels of phenytoin and phenobarbital by enhancing their hepatic metabolism, potentially diminishing their anticonvulsant efficacy

L-carnitine in health and disease: Drug, nutrient, and exercise interactions

Contact your doctor or pharmacist if anything unusual occurs

Alicia Zellmer, MD, and Joy Liu, MD, are resident physicians in internal medicine and members of the ABC News Medical Unit.

The disulfide bridge between Cys and Cys is essential for maintaining the peptides bioactive conformation

The recommended dose is: At the start of treatment, 1 ml (1 ampoule) is administered once or twice a week in the first two weeks after diagnosis, corresponding to 1000 - 2000 g cyanocobalamin per week