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Ongoing Surveillance During Treatment Once peptide therapy is initiated, ongoing surveillance for malignancy should continue throughout the treatment period and potentially beyond, depending on treatment duration and individual risk factors
Gastric ulcer disease A stomach ulcer in medical terms means a defect in the stomach wall, involving the mucosa, muscular layer, and submucosal tissue

That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12

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doi: 10.1089/neu.2014.3349
