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Heavy alcohol consumption can interfere with the body's ability to absorb Vitamin B12 from the gut and can reduce the amount of the vitamin stored in the liver

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That said, symptoms associated with anemia may include [41, 36, 37]: Headaches Dizziness Weakness Shortness of breath and problems breathing while lying down Double or blurred vision and blind spots Unexplained itching (especially after a warm bath), reddened face, and a burning feeling on your skin (especially your hands and feet) Bleeding from your gums and heavy bleeding from small cuts Unexplained weight loss Fatigue (feeling tired) Excessive sweating Coldness in the hands and feet Pale skin Chest pain Very painful swelling in a single joint, usually the big toe (called gouty arthritis) Bone pain (in rare cases) Increased probability of blood clots (impending danger of heart attack or stroke)

Family history of pernicious anemia or autoimmune disorders increases the risk of developing antibodies