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For example, if a patient has a severe deficiency with malabsorption (unable to absorb vitamins from the gut) or is experiencing vomiting that prevents oral intake, an injection ensures the vitamin B is delivered into the body

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Drinking alone or in secret Drinking to cope with stress or emotions Developing a tolerance to alcohol means needing more to feel the same effects

Effects from acute, short-term exposures may be limited, resulting in sublethal responses that may lead to mortality, or may involve longer-term or delayed responses on individuals, populations, communities, and ecosystems