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The combination of reduced intake and impaired absorption creates a trajectory toward deficiency over months and years of treatment

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Through these reactions, vitamin B12 is associated with fat and carbohydrate metabolism and protein synthesis

B12 serum monitoring Hi My Gp has retired and the new GP has requested I have a blood test prior to renewing by B12

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Other targets such as sodium channels can also be affected by high doses of alcohol, and alteration in the numbers of these channels in chronic alcoholics is likely to be responsible for as well as other effects such as cardiac arrhythmia