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If the administration of a B vitamin supplement causes skin problems, such as the resurgence of juvenile acne, this may be due to a high vitamin B12 level in the skin or higher doses of vitamin B6 (pyridoxine)

She is also a National GAIN Trainer for Galderma

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It is advisable to avoid valproic acid, as it can impair liver mitochondrial function and cause hepatotoxic, while carbamazepine and phenytoin can decrease vitamin B12 and folic acid levels, therefore, these drugs should be avoided whenever possible