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Will the B12 cause jitters or anxiety like caffeine

Drinking at High Altitude Scientific explanation: Higher altitudes increase fluid loss through faster breathing rates and increased urination (a response called altitude diuresis), which independently reduces total body water again stacking with alcohols own diuretic effect

While IGF-1 has important physiological functions, elevated levels carry potential concerns including increased cell proliferation that may support tumor growth in individuals with cancer or pre-cancerous conditions, accelerated aging processes through growth pathway activation, potential cardiovascular effects with chronic elevation, and metabolic consequences including effects on glucose and lipid metabolism

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Low levels of B12 can result in symptoms of fatigue, nervousness, numbness, tingling in the extremities, diarrhea or shortness of breath