Final answer:
Vitamin A toxicity is not a nutritional concern in alcoholics, as they typically face deficiencies due to poor diet and absorption issues, whereas toxicity arises from excess intake.
Step-by-step explanation:
While vitamin B-12 deficiency, protein-energy malnutrition, and iron deficiency are nutritional concerns associated with alcoholism, vitamin A toxicity is generally not a concern. This is because alcoholics are more likely to suffer from a deficiency of nutrients due to poor dietary habits and the inhibitory effect of alcohol on nutrient absorption. They are typically at risk for deficiencies in water-soluble vitamins such as vitamin C and B vitamins including folate, thiamine, and vitamin B12, as well as micronutrients like iron. Vitamin A toxicity, on the other hand, occurs when there is an excessive intake of vitamin A, which is less common among alcoholics who generally have inadequate dietary intakes.