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[DOI] [PMC free article] [PubMed] [Google Scholar] 68.Lanzafame M., Vento S

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That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12

Most vitamin injections are safe when administered correctly, but possible side effects include: Mild pain or swelling at the injection site Nausea or dizziness Rare allergic reactions Fat-soluble vitamin buildup (with excessive vitamin D or A) Always receive injections from certified professionals in a clinical setting to ensure safety and effectiveness

Emerging data suggest a role for TNF- mediated apoptosis in alcoholic hepatitis and, therapy targeting this cytokine to inhibit apoptosis may be effective