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Avoid consuming alcohol while receiving these injections, as alcohol can worsen nerve damage and impair nutrient absorption
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Intrinsic factor deficiency, Imerslund-Grsbeck disease, Addisons pernicious anemia, obesity, bariatric surgery, and gastrectomies have also been known to cause B12 malabsorption
User experimentation suggests that longer initial treatment periods (6+ months continuous) support better benefit retention during subsequent breaks, complete discontinuation breaks of 1-2 months show acceptable benefit maintenance for most users, and very extended breaks (3-6+ months) increase risk of regression toward pre-treatment baseline particularly for short initial treatment courses
