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How a clinician chooses between them with you In a consultation, several factors shape the choice and the right answer is sometimes "either is reasonable

Taking them together might make you feel more dizzy or unsteady than you would if you took just one of these medications

1 Alcohol reduces vitamin B12 levels While there are a number of studies linking alcoholism to severe B vitamin deficiency, the Journal Nature published a study in 2004 that looked at the impact of moderate alcohol intake on B12 levels in post-menopausal women