I mean I just, literally, had not eaten that day, consumed too much alcohol, and just knocked out a little bit. [101] He regards the substances he uses as "just a cope trying to feel neurotypical while being in public, but obviously that isn't a real solution." [102] [103] He has vowed to quit substances
While Vitamin B12 is a water soluble vitamin and your body flushes out what you do not need, it is a good idea to discuss your unique situation with your health professional who knows your circumstance best
Individuals with gastrointestinal conditions affecting absorption require careful monitoring: Pernicious anaemia (autoimmune condition destroying intrinsic factor-producing cells) Crohn's disease or coeliac disease affecting the terminal ileum Following gastric surgery (gastrectomy or bariatric procedures) Chronic pancreatitis Small intestinal bacterial overgrowth (SIBO) People taking certain medications may experience impaired B12 absorption: Metformin (diabetes medication)the MHRA Drug Safety Update advises monitoring B12 levels in patients on long-term treatment, particularly those with anaemia or peripheral neuropathy [17] Proton pump inhibitors (PPIs) and H2-receptor antagonistslong-term use reduces stomach acid necessary for B12 release from food [18] [19] Nitrous oxide (anaesthetic or recreational use) can inactivate B12 in the body [9] [21] Pregnant and breastfeeding women , particularly those following plant-based diets, should ensure adequate B12 intake to support foetal and infant neurological development
Wang WH, Smits R, Hao HP, He CY
Sayed WM, Elzainy A
