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This is why injections are needed to keep B12 levels up

Shawe J, Ceulemans D, Akhter Z, Neff K, Hart K, Heslehurst N, et al

Neuroprotective effects of a triple GLP-1/GIP/glucagon receptor agonist in the APP/PS1 transgenic mouse model of Alzheimers disease

Whatever medication you are on, talk with your prescriber before drinking, and seek medical care for any severe stomach pain, persistent vomiting, or symptoms of very low blood sugar