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If the vial sits out for a few hours while you are drawing doses, that is fine

Not being able to breathe normally while exercising Bleeding gums Swollen, red looking tongue Gut related issues like constipation or diarrhoea If there is long term Vitamin B12 deficiency, then the signs are Memory loss and confusion Not being able to balance Numbness or tingling Feeling depressed Irritability or hallucinations in some cases

It plays an important role in protecting the lining of the gastrointestinal tract from damage, promoting healing and stimulating blood vessel growth

It is true that B12 levels will be depleted by alcohol - the reduction is small with a single drink but probably worse if you go over that