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Poor Dietary Intake Vegetarians, particularly those restricting milk and eggs, are at higher risk of B12 deficiency because there are limited plant-based food sources containing B12

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Ethanol Acute ethanol ingestion has antilipolytic effects that cause a significant fall in serum FFAs (1) and a decrease in whole-body lipid oxidation (113)

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This is because B12 is essential for the health of the nervous system

Some individuals report headache or dizziness, though it is often unclear whether these symptoms are directly attributable to the supplement or coincidental