• Increaded urine excretion

• Decreased taste

• Decreased immune funtion


• Gastrointestinal bleeding

• Anemia

alcoholics after years of drinking. 'Wet beriberi' refers to the high-output cardiac failure that can also occur in thiamine-deficient alcoholics, and is responsive to thiamine therapy in addition to conventional treatment. Since endogenous thiamine is used during carbohydrate metabolism, acute cardiac failure can be precipitated by the administration of intravenous glucose to malnourished and marginally thiamine-deficient patients by depletion of remaining thiamine stores. This process can be prevented by the addition of soluble vitamins including thiamine to malnourished chronic alcoholic patients who are undergoing treatment for medical emergencies.

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