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Concerning symptoms Even if you started a vitamin on your own, or with very basic guidance, you should always talk with your provider and expect lab testing to be discussed if you notice: Unexplained tiredness that does not improve Numbness, tingling, balance problems or vision changes Significant mood changes or confusion Frequent fractures or bone pain Unintentional weight loss, ongoing digestive issues or chronic diarrhea These can have many possible causes

doi: 10.1080/00365510050184994

Vitamin B12 is found primarily in animal-derived foods meat, fish, dairy and eggs

Beyond its direct irritant effects on the esophageal lining, alcohol relaxes the lower esophageal sphincter and impairs the protective clearing reflexes during sleep