1 Alcohol reduces vitamin B12 levels While there are a number of studies linking alcoholism to severe B vitamin deficiency, the Journal Nature published a study in 2004 that looked at the impact of moderate alcohol intake on B12 levels in post-menopausal women

Cyanocobalamin is indicated for Vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacterial overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue
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B12 helps convert fats and proteins into energy and can contribute to a more active lifestyle by enhancing metabolic rate