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Immunologic causes of thrombocytopenia can be caused by certain medications, for example, sulfonamide antibiotics, carbamazepine (Tegretol, Tegretol XR , Equetro, Carbatrol), digoxin (Lanoxin), quinine (Quinerva, Quinite, QM-260), quinidine (Quinaglute, Quinidex), acetaminophen, and rifampin

Vitamin B12 can interact or interfere with medicines that you take, and in some cases, medicines can lower vitamin B12 levels in the body

PMID 24803097

B12 Absorption When we get B12 through our diet, absorption occurs during digestion

This is because issues with regular function of the gastrointestinal tract can prevent the proper release and absorption of the vitamin which causes deficiency