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Alcohol use disorder is another common cause of B12 deficiency due to the damage alcohol consumption causes to your digestive system

and Gibson R.S

Edward Zawadzki, now the medical director at Beach House Center for Recovery, recalled treating patients during his residency who had been rushed into the ER with a BAC as high as .30, .40 and even .50

doi: 10.21037/tau.2019.11.30 94 BerlangaJCibrianDGuevaraLDominguezHAlbaJSSeralenaAet al

Succinyl-CoA also is required for hemoglobin synthesis.2,4 B12 digestion and absorption requires the adequate synthesis of hydrochloric acid, proteases (enzymes that break down proteins and peptides), and intrinsic factor (a glycoprotein secreted in the stomach)

Consult your doctor if you are pregnant or planning for pregnancy during the treatment