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However, some people are more at risk of a vitamin B-12 deficiency, including older people, vegetarians and vegans, those with intestinal disorders, and individuals with diabetes, muscular degeneration, or Lou Gehrigs disease
So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms
It is inadvisable to give yourself an injection of any sort unless you are fully confident in your ability to inject the drug or supplement safely, and this applies to a B12 injection too
Total abstinence is rarely required by clinical guidance, but less alcohol in the first day or two reduces bruising risk and helps you notice any unusual symptoms