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The interactions that occur from mixing alcohol with other drugs can cause dangerous side effects, which is why many clinicians instruct alcohol consumption to be reduced or eliminated while certain medications are being taken

Many people have reduced absorption due to age, medication, or digestive issues

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Some common symptoms may include: Fatigue or weakness Nausea, vomiting, or diarrhoea Loss of appetite and weight loss Sore tongue or mouth Pale or yellowish skin Numbness or tingling in hands and feet Trouble walking, balancing, or speaking Vision problems Memory issues or confusion Depression, irritability, or personality changes Diagnosis Because symptoms can mimic other conditions, vitamin B12 deficiency can be difficult to diagnose