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And, in a lot of ways, it behaves like a metabolic leak. Heres what I mean

However, when you are dehydrated, your liver has to work harder to process the alcohol because there is less water available to help flush out toxins

Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin

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Journal of physiology and pharmacology: an official journal of the Polish Physiological Society, 60 Suppl 7 , 115122