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Mood-related symptoms of B12 deficiency include persistent irritability, low mood or emotional flatness that doesn't respond to typical coping strategies, restlessness, difficulty concentrating, and a general sense of being "off" that's hard to articulate
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Alcohol abuse can lead to vitamin B12 deficiency due to the following reasons: Alcohol consumption can reduce B-12 absorption as chronic alcohol consumption can lead to gastritis (inflammation of the stomach lining) and impair the production of intrinsic factor, which is a protein necessary for the absorption of vitamin B12
