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If you are suffering from pernicious anaemia or have trouble absorbing Vitamin B12, you will need shots of this vitamin along with oral supplements or get it nasally after that

Hawkins-Jarrett (2023)

People with Alcohol Dependence: Chronic alcohol consumption can impair B12 absorption and lead to deficiency

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This is problematic, as constant headaches are often the manifestation of a systemic imbalance that left untreated can lead to poor health outcomes down the road

It is not recommended however during pregnancy or breastfeeding