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Large amounts of alcohol irritate the mucosal linings in the stomach and intestines leading to a condition called gastritis which further leads to reduced absorption of B12 levels in the body

Frequency: Once or twice per day (subcutaneous)

Decrease dose consideration: Persistent side effects including headaches, fatigue, or injection site reactions, excessive response (extremely rapid weight loss suggesting dose may be higher than needed), cost concerns when lower doses might achieve similar results

Where appropriate, referral to a specialist Tier 3 weight-management service may also be considered

Inject subcutaneously, preferably in fatty areas like the stomach

If months of daily supplementation have not moved your labs, absorption is the likely bottleneck