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Oral B12 is broken down by stomach acid before it absorbs

However, ethanol does not accumulate in adipose tissue (fat) because it has little non-polar character and it prefers to reside in water

This process is similar to what you would experience during routine blood work

Anemia-Related Symptoms Fatigue Weakness Muscle weakness Pale/yellowed skin Rapid heartbeat Heart palpitations Shortness of breath Swollen/sore/smooth tongue Headaches Nausea Diarrhea Indigestion Incontinence Appetite problems Weight gain or weight loss Dizziness or faint feeling Nerve-Related Symptoms Nerve problems, such as tingling or numbness Mental health issues, such as depression Memory loss Dizziness Confusion Dementia Imbalance/trouble walking or standing Irritability Vision loss What Causes B12 Deficiency