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The physician should provide information to the patient about the signs and symptoms of hepatotoxiciy that should cause alarm (e.g., nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant tenderness and "flu-like" symptoms)
Garvin Patel emphasizes that Vitamin B12 is essential for a healthy metabolism
and limited in movement
Many people with low B12 feel fatigued and sluggish
However, if someone already has extremely high levels of vitamin B (from taking excessive supplements and showing toxicity symptoms), further pyridoxine would be avoided
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