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Certain antibiotics may interact with the cyanocobalamin component through effects on vitamin B12 metabolism or efficacy
Adults aged 40-60 face highest risk, with women 4 times more likely to develop the condition, and diabetics showing 10-20% prevalence compared to 2-5% in the general population
Sources: Hangovers - Symptoms and causes | The Mayo Clinic Drug Bioavailability - StatPearls | NCBI Bookshelf
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