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In addition, mice and human subjects with ALDH2-defiency have higher levels of corticosterone and cortisol after alcohol consumption than those with normal ALDH2, which may also contribute to the resistance of ethanol-fed Aldh2 -/- mice to ConA-induced T-cell hepatitis

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However, if the side effects persist or worsen, consult your doctor

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If your body lacks sufficient B12 due to dietary reasons (e.g., youre vegan and not supplementing) or, more commonly, due to an inability to absorb B12 from your gut (e.g., pernicious anaemia, certain stomach conditions, or medications), then replenishing those levels with an injection will directly address the cause of your fatigue