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Have alcohol use disorder: Too much alcohol can harm the digestive system and make it difficult to absorb vitamin B12

Initial tests include: FBC and film Serum ferritin Serum folate Reticulocyte count if anaemia or macrocytosis Intrinsic factor antibodies (lab will reflexly test if low B12 levels)

As painful as it is to tell a patient we dont have a proven therapy, it is far worse to give false hope or possibly cause harm with an unvetted substance

Some people experience feeling worse after receiving a vitamin B12 injection, which can be disconcerting when you expected improvement

B-12 injections can enhance immune function by ensuring the body has the necessary resources to produce these cells, helping to fight off infections more effectively