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Less evidence exists for the use of magnesium and folic acid, for which a less radical change in dosage is proposed. No evidence for the use of multi-vitamins are found for alcoholics. [2] Vitamin C is proposed to be added based on the prevalence of low blood levels among alcoholics, but its therapeutic usefulness is undefined. [4]
To help to prevent Wernicke syndrome, these individuals should be administered a multivitamin preparation with sufficient quantities of thiamine and folic acid. During alcohol withdrawal, the prophylactic administration of thiamine, folic acid, and pyridoxine intravenously is recommended before starting any carbohydrate-containing fluids or food.
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To best manage symptoms, refraining from consuming alcohol is essential. Abstinence from alcohol encourages proper diet and helps prevent progression or recurrence of the neuropathy. [13] Once an individual stops consuming alcohol it is important to make sure they understand that substantial recovery usually isn't seen for a few months.
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