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According to the Mayo Clinic, alcohol intolerance is caused by a genetic condition in which the body is unable to break down alcohol

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doi: 10.1602/neurorx.2.1.3 196 PasseriE.ElkhouryK.MorsinkM.BroersenK.LinderM.TamayolA.et al

If B12 is lacking but there is sufficient dietary intake of vitamin B9, megaloblastosis may not occur (since we are avoiding the folate trap), which makes diagnosis difficult

It is one of the most complex nutrient absorption pathways in the human body, and semaglutide interferes with it at multiple points simultaneously