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Conversely, isoniazid and pyrazinamide (tuberculosis drugs) are structural analogs of niacin that can interfere with niacin metabolism, potentially precipitating pellagra in rare cases

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It's important to note that some individuals with low levels of Vitamin B12 in their systems may not experience any symptoms unless they have Vitamin B12 deficiency anemia, which is characterized by a loss of red blood cells and can lead to neurological symptoms such as: The following are general signs of a Vitamin B12 deficiency: A Vitamin B12 deficiency causes can be due to a variety of circumstances or diseases, including: Inadequate consumption of foods that are naturally high in Vitamin B12 or meals that have been enriched with it