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Cognitive decline, dementia, and Alzheimer's disease The occurrence of vitamin B 12 deficiency prevails in the elderly population and has been frequently associated with Alzheimer's disease (reviewed in 63, 64)

Most individuals can benefit safely, but pregnant or breastfeeding women, people with known vitamin or nutrient sensitivities, or those with specific medical conditions should consult with a healthcare provider before receiving injections

For reference, one standard drink contains 14 g of alcohol, so having a couple drinks a day can have a cumulative impact on vitamin B12