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Several groups face higher risk, including: Older adults (due to reduced stomach acid production) Vegans and vegetarians (limited dietary sources) Individuals with pernicious anaemia (an autoimmune condition affecting B12 absorption) People with gastrointestinal disorders such as Crohn's disease or coeliac disease Those who have undergone gastric surgery People taking certain medications long-term, particularly metformin and proton pump inhibitors Individuals with recreational or medical nitrous oxide exposure (which can inactivate B12 and cause acute neurological symptoms) Vegans and vegetarians should ensure adequate B12 intake through fortified foods (such as some plant milks, breakfast cereals, and yeast extracts) or supplements

Thats where vitamin B12 injections come in

Drinking heavily can make it harder for your body to absorb nutrients, including B12

It acts as a potent pro-oxidant, inducing profound oxidative stress that damages the delicate endothelial lining of blood vessels

One molecule plays a central role in all of these processes: NAD+ (nicotinamide adenine dinucleotide)

It is not a shortcut, it is a strategic add-on