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People with High Alcohol Consumption : Excessive alcohol intake can lead to a decrease in Vitamin B12 absorption and storage

If normal, start 1000 mcg oral b12 daily as prevention given multiple risk factors (age, metformin, PPI, now semaglutide)

We just dont know the villain yet. It allows you to treat the pain or the numbness while you keep looking for the underlying cause

Some people speculate that high estradiol levels can also lead to difficulty achieving or maintaining an erection, but no scientific papers have been published on this subject

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