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This alteration in aspirin antithrombotic effect is speculated to result from decreased carboxylesterase activity in the gut by oral ampicillin, reducing some enterococci, enterobacteria, and lactobacilli strains, decreasing the pre-systemic conversion of aspirin to salicylic acid, and increasing its absorption and systemic effects [29, 85]

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In addition to this, vitamin B6 deficiency can lead to symptoms ranging from irritability and depression to more severe conditions such as anemia and peripheral neuropathy