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Management typically includes increasing intake of B12-rich foods, using high-quality B12 supplements, and in some cases receiving B12 injections prescribed by a healthcare provider

Alcohol can affect the absorption levels of B12 and therefore should be avoided for at least 24 hours for best results

Some studies suggest that B12 can increase the production of certain compounds that irritate the skin, especially on the face and back

Other indications include malabsorption disorders (such as Crohn's disease or coeliac disease), following gastric surgery, strict vegan diets without supplementation, and certain medications that interfere with B12 absorption

If the body properly uses B12, studies show it can stay in the body for up to five years