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So, now that we know serum B12 may not always be reliable, lets look at the proper steps that should be taken: Check a complete blood count (CBC)

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J Postgrad Med 59(4):253 Kang D et al (2014) Higher prevalence of metformin-induced vitamin B 12 deficiency in sulfonylurea combination compared with insulin combination in patients with type 2 diabetes: a cross-sectional study

Symptoms of a hangover can include: Headaches Fatigue Excessive thirst Poor or decreased sleep Sensitivity to light and sound Dizziness Shakiness Changes in mood Decreased ability to concentrate Stomach pain Many symptoms of a hangover are symptoms of dehydration