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Vitamin B12 is water soluble and high doses generally are excreted in the urine, which makes toxicity rare
In addition to this, alcohol abuse is considered a chronic disease that promotes the pathogenesis of many fatal diseases, such as cancer and liver cirrhosis (due to decreased hepatic storage vitamin B12 deficiency can develop quickly in chronic liver illness)
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Residual Mouth Alcohol: Alcohol still present in the mouth from recent consumption, burping, or dental work
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