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2nd-line maintenance antiseizure medication : lacosamide Lacosamide may rarely be contraindicated due to advanced cardiac conduction system disease or Child-Pugh Class C hepatic failure

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He will also ask about any underlying health conditions that can impact B12 absorption, such as digestive disorders (like Crohns disease or celiac disease), past surgeries (including gastric bypass), or dietary patterns common in families, such as vegetarian or vegan diets

B12 MIC supports the livers capacity to handle increased fat processing demand

Most side effects are minimal and mild