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Clinically, doctors use this information to decide whether symptoms such as confusion, drowsiness, poor balance, vomiting, or altered behavior are likely related to alcohol or whether another medical problem needs urgent attention

This was because hydroxocobalamin produced by bacteria was changed to cyanocobalamin during purification in activated charcoal columns after separation from the bacterial cultures (because cyanide is naturally present in activated charcoal)

Alternative sweeteners such as xylitol and mannitol with stevia being OK in small amounts

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