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Alcohol abuse can lead to vitamin B12 deficiency due to the following reasons: Alcohol consumption can reduce B-12 absorption as chronic alcohol consumption can lead to gastritis (inflammation of the stomach lining) and impair the production of intrinsic factor, which is a protein necessary for the absorption of vitamin B12

doi: 10.1126/SCIENCE.1160062 87 YouSAlyanakianMASegoviaBDamotteDBluestoneJBachJFet al

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As such, they are single-dose vials and should be discarded after a single use

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The choice often comes down to personal preference and practitioner recommendation