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Even moderate alcohol consumption can decrease vitamin B12 absorption by about 5-6% Symptoms of Vitamin B12 Deficiency Historical records suggest that Grigori Rasputin suffered from a vitamin B12 deficiency

Monthly injections are well suited to maintenance, keeping already-healthy levels healthy, but they are often not enough during the correction phase for someone who is significantly deficient

A post-RYGB patient with serum B12 below 100 pmol/L may need eight to twelve weeks of aggressive repletion, sometimes with intramuscular injections, before I am comfortable operating

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