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Isoniazid (INH), a tuberculosis medication, and hydralazine, used for hypertension, both form complexes with pyridoxal 5-phosphate or otherwise interfere with vitamin B metabolism, leading to functional vitamin B deficiency

B12 is essential for various bodily functions, including energy production, red blood cell formation, and nerve health

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Cureus, 2021 May Danielius Serapinas, Evelina Boreikaite, Agne Bartkeviciute, Rita Bandzeviciene, Mindaugas Silkunas, Daiva Bartkeviciene