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Alcohol Consumption: Excessive alcohol consumption can interfere with the absorption and metabolism of vitamin B12, increasing the risk of deficiency

Eligible studies included randomised controlled trials, cohort, and case-control studies assessing B12 supplementation efficacy via oral, sublingual, or IM administration routes

Start on a daily multivitamin as well as 400 mcg folic acid and keep it constant to reduce the variability while monitoring your b12

(2005) and Chirala et al

Bariatric surgical techniques have since evolved, and each reshapes the gastrointestinal system, and potentially alcohol pharmacokinetics in distinct ways

Patients should pursue evidence-based alternatives rather than research-grade sourcing