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Whenever possible avoid getting B12 shots from your PCP unless they also have some background in integrative medicine

Mar 2016;42(3):279-85

Prescription products require an online consultation with a healthcare provider who will determine if a prescription is appropriate and safe for you

Alcohol and Vitamin E Deficiency: Lipid Peroxidation and Neurological Vulnerability Vitamin E deficiency is a common but underrecognized consequence of alcohol use due to increased oxidative stress and impaired fat-soluble vitamin handling

doi:10.1016/j.redox.2024.103237

The integrity of your gut barrier, oxidative damage from free radicals, toxic load, and inflammation all play a role