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If IBD, EPI, SIBO, or parasites are driving the poor absorption, those conditions need their own treatment plan running alongside B12 therapy

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Since excess alcohol consumption depletes zinc and B vitamins, some treatments center on daily doses of zinc and multivitamins, sometimes paired with lab testing to check levels, and followed by fine-tuning treatment protocols

Deficiency in B12 can result in symptoms such as trouble concentrating, memory problems, and mood changes

Vitamin B12 is mainly excreted in the urine and bile