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In patients who develop unexplained lethargy, vomiting, or changes in mental status, hyperammonemic encephalopathy should be considered and an ammonia level should be measured [seeContraindications (4)andWarnings and Precautions (5.6, 5.9)]
doi: 10.3390/ijms141021021
If you do continue a daily multivitamin, separate it from any interactions, for instance, dont take other vitamins at the exact same time as certain medications like tetracycline antibiotics (all B vitamins can bind with tetracycline in the gut and reduce its absorption)
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