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Vitamin B12 (cobalamin) is vital for: Nerve function Red blood cell formation Energy production Supporting a healthy pregnancy Deficiency can occur due to poor absorption, certain medications, or restrictive diets (such as vegan or vegetarian)

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Along with alcohol as well as nicotine, long term antibiotic use could also reduce the stomachs ability to utilize and absorb vitamin B12

doi:10.1016/j.urology.2012.01.063

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B12 shots dont always resolve the underlying problem of deficiency, so theyre not the be-all and end-all when it comes to treating symptoms