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Large amounts of alcohol irritate the mucosal linings in the stomach and intestines leading to a condition called gastritis which further leads to reduced absorption of B12 levels in the body

[4] Other symptoms may include shortness of breath, feeling faint, a smooth red tongue, pale skin, chest pain, nausea and vomiting, loss of appetite, heartburn, numbness in the hands and feet, difficulty walking, memory loss, muscle weakness, poor reflexes, blurred vision, clumsiness, depression, and confusion

Medications are dispensed through our licensed partner pharmacies following a successful provider evaluation

Reports show that too much folic acid supplement has raised safety concern due to its adverse outcomes

## **Documentation requirements** Documentation should include: - The diagnosis or condition showing low serum vitamin B12, pernicious anemia, or other diseases classified by B-group deficiencies

Many people assume that a vegan or vegetarian diet is automatically rich in nutrients