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Vegans and Vegetarians People following plant-based diets may have lower Vitamin B12 intake and may benefit from discussing B12 support with a provider
The B-complex vitamins, particularly B1 (thiamine), B6 (pyridoxine), and B12 (cobalamin), are involved in alcohol metabolism and can become depleted during heavy drinking
The titration schedule starts at 2 mg per week for 4 weeks, escalates to 4 mg for weeks 5 through 8, then to 8 mg for weeks 9 through 12, and reaches the 12 mg maintenance dose at week 13 (Jastreboff et al., NEJM 2023)
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