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Ageing and certain health conditions can impact B12 absorption, so staying attuned to your bodys needs and seeking medical advice can be invaluable

[15] Ruparell, A

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Stick to 1-2 drinks maximum, drink slowly with food, and avoid alcohol entirely during weeks 5-8 when nausea peaks

Fatigue is sometimes reported during the first two weeks at this dose, though it is difficult to determine whether this is a direct effect of the medication or a consequence of significantly reduced caloric intake

(November 2003)