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Light to moderate alcohol is usually fine, but heavy drinking can lower B12 levels and slow recovery

Kluijtmans LAJ, Boers GHJ, Stevens EMB, Renier WO, Kraus JP, Trijbels FJM, van den Heuvel LPWJ, Blom HJ: Defective cystathionine beta-synthase regulation by S-adenosyl-methionine in a partially pyridoxine responsive homocysteinuria patient