Deficiently of vitamin B12 can lead to abnormal neurologic and psychiatric symptoms including ataxia (shaky movements and unsteady gait), muscle weakness, spasticity, incontinence, hypotension, vision problems, dementia, psychosis, and mood disturbances
Nerve problems, such as: numbness or tingling (like muscle weakness)
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Conditions like celiac disease, inflammatory bowel disease, gastric surgeries, or chronic use of certain medications can reduce absorption from food and pills. If you have ongoing digestive issues, your provider may recommend a combination of gutsupporting strategiessuch as probiotics, a balanced diet, or targeted therapiesalong with B12, often using injections to bypass the digestive tract altogether
However, if you feel that you have a high alcohol consumption and have symptoms of B12 deficiency, it may be good to do a Vitamin B12 testPEth and CDT
"Cobalt deficiency in sheep and cattle"