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That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12
This is about cellular health, not just lab results
doi: 10.1371/journal.pone
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Long-term effects of fenfluramine on central serotonergic mechanisms
Without adequate B vitamin levels, the bodys ability to metabolise fats, carbohydrates, and proteins is significantly compromised
