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Pregnant women must avoid beef liver entirely due to excessive vitamin A content, which poses teratogenic risks

This reference does not suggest if a nootropic works or not -- but it does explain why it may be categorized as a nootropic, as well as serving as a starting point for additional research

Other common causes of vitamin B12 deficiency include gastrectomy, ileal resection, pancreatic insufficiency and malabsorption syndromes including Crohns disease and coeliac disease. The bottom line : for patients with the above gastrointestinal challenges, getting enough B12 into the bloodstream through oral supplementation is not possible

Front Endocrinol (Lausanne) 3:34916