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If you are taking it, adding an annual B12 test to your routine monitoring is the simple solution

If youre deficient or unable to meet your daily needs through your diet, you might need vitamin B12 injections

Symptoms occur during later stages of deficiency, when intake has been very low for an extended time

According to the National Institute on Alcohol Abuse and Alcoholism: Nearly 88,000 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making it the third leading preventable cause of death in the United States

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In short, the difference between oral supplementation and injection is that an injection will provide a higher dose of B12 at regular intervals, whilst oral supplements have a lower dosage and can be taken every day