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I also could not find any evidence of alcohol inhibiting vitamin B12 absorption

Signs of B-12 deficiency can include fatigue, weakness, sore tongue, nerve pains, insomnia, depression, canker sores, easy bruising, numbness and tingling in hands or feet, and memory problems

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NAD+ therapy is shown to support energy, mitochondrial function, cognitive clarity, and cellular repair, especially in adults experiencing fatigue, inflammation, or early signs of age-related decline

This is the most common and most benign cause of elevated B12

For individuals with BMI above 30 or BMI above 27 with comorbidities, FDA-approved GLP-1 receptor agonists (semaglutide, tirzepatide) have far stronger evidence and produce dramatically greater weight loss