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There are potential side effects related to all medications, and vitamin B12 is no different

For example, sugar alcohols like sorbitol or mannitol (used in some chewable or effervescent preparations) can have osmotic effects, drawing water into the intestinal lumen and potentially leading to loose stools in sensitive individuals

The risks of opioid use while on Suboxone is more related to chasing the high that Suboxone is blocking, taking the same opioid dosing after even brief periods of sobriety or in combination with other depressant drugs like benzodiazepines or alcohol

Early intervention can make a dramatic difference in preventing the severe outcomes of alcohol abuse

Take care to always cap any needles and immediately place them into your sharps container