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These symptoms may express themselves as someone stumbling, tripping, or otherwise appearing sloppy. 0.21 0.30 Severe Impairment, Nausea, and Blackout Once a persons blood alcohol concentration goes above 0.21, they are putting themselves at serious risk of both immediate and long-term consequences

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But blood levels of B12 mean little, and theyll rise regardless of therapeutic effectiveness

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Many patients do not absorb B12 efficiently through food or oral supplements, especially those over 40 or on certain medications like metformin or acid reducers

When levels are not optimal, it may influence stamina, concentration, and overall vitality