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The primary metabolic pathway includes: Step 1: Alcohol dehydrogenase (ADH) converts ethanol into acetaldehyde, a toxic intermediate metabolite that causes facial flushing, nausea, and headache

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This reduction in lipid droplets, particularly in the heart, is significant as intramyocardial lipid accumulation (cardiac steatosis) has been implicated in the pathogenesis of diastolic dysfunction, potentially through lipotoxicity and impaired energy metabolism 99,100

By staying informed and addressing nutritional needs, individuals can maintain their energy levels, cognitive function, and overall well-being, ensuring that they enjoy the full benefits of vitamin B12 for a healthy and active lifestyle