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doi: 10.1101/pdb.prot087205 47 NunesCDepestelLMusLKellerKMDelhayeLLouwagieAet al

However, the assays fail to detect deficiency in older patients, even when it is severe enough to precipitate neuropsychiatric disease

More on bolus feeding here: Use continuous tube feeding, but hold tube feeds for two hours before and after administration of phenytoin

Also, if you are on supplementation of Vitamin B12 or folic acid without doctors recommendation, the excess dosage might interfere with medications for thyroid, diabetes, or other autoimmune conditions often seen with vitiligo

Causes of vitamin B12 and folate deficiency