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A proper lab workup and discussion with a physician are necessary to discover or rule out whether inadequate B12 levels could be at play

Moreover, individuals should be cautious about consuming caffeine, as it is another stimulant that can exacerbate side effects such as anxiety or increased heart rate

Alcohol Use with Caution Limit or avoid alcohol consumption, as it may interfere with the absorption and effectiveness of B vitamins and delay nerve recovery

The evolving medication landscape underscores the importance of individualized treatment planning, integrating both pharmacological and behavioral interventions to support long-term recovery across substance categories