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According to the Mayo Clinic, most people consume adequate amounts of B vitamins through their diet, though the elderly, particularly those with pernicious anemia, athletes, strict vegetarians, and people who consume a lot of alcohol may be deficient in the B vitamins and may require injections or oral supplementation of B vitamins or vitamin B-12, in particular

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doi:10.7150/ijms.11811

Some people also notice an improvement in their overall sense of well-being and a reduction in symptoms associated with deficiency, such as tingling or numbness in the extremities

The cold temperature works in tandem with the benzyl alcohol, dramatically slowing down any potential bacterial metabolism and, just as importantly, preserving the integrity of the benzyl alcohol itself