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The consequences extend beyond simple fatigue: B12 deficiency can trigger mood disturbances, cognitive decline, nerve damage, and compromised immune function

Guha M, Srinivasan S, Raman P, Jiang Y, Kaufman BA, Taylor D, Dong D, Chakrabarti R, Picard M, Carstens RP, et al

Patients with pancreatitis history, alcohol use disorder, poor glycemic control, or frequent hypoglycemia should avoid alcohol entirely and consult their healthcare provider

see also Gawryluk JW, Wang J-F, Andreazza AC, Shao L, Young LT: Decreased levels of glutathione, the major brain antioxidant, in post-mortem prefrontal cortex from patients with psychiatric disorders

Hyman is talking about everyday fungi, which contain several anti-inflammatory compounds