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What follows is what we know from that review and from the published clinical record
Speed of Consumption Drinking several drinks quickly increases BAC levels rapidly and can raise the risk of alcohol poisoning especially if your body cant metabolize the alcohol fast enough

Baseline: CBC, B12, folate, iron studies Repeat B12 levels 1 month after loading dose Annual checks for chronic therapy Monitor potassium during initial treatment Neurological exams for neuropathic symptoms B12 injections can "mask" megaloblastic anemia from folate deficiency while allowing neurological damage to progress

Only a blood test can reliably show whether you are affected by vitamin B12 deficiency