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If youve had bariatric (weight loss) surgery or if you heavily use alcohol, you may also have difficulty absorbing this vitamin

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Phenytoin is a potent inducer of CYP 2C9, 2C19, and 3A4, resulting in innumerable drug-drug interactions.(34300194) interactions between phenytoin and valproate Effect on phenytoin: Valproate inhibits CYP2C9, resulting in the accumulation of phenytoin