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For example, bacteriostatic substances in the blood, including antibiotics or cancer chemotherapeutic agents, inhibit the growth of the microorganism and interfere with the assay, producing misleadingly low serum vitamin B12 concentrations

Other targets such as sodium channels can also be affected by high doses of alcohol, and alteration in the numbers of these channels in chronic alcoholics is likely to be responsible for as well as other effects such as cardiac arrhythmia

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Moreover, disclose any existing medical conditions such as Leber's disease, liver problems, or kidney disorders to ensure the medication's safety and effectiveness for you