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L-carnitine shots also typically work faster because the medication goes straight into the bloodstream.

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It is also advised to avoid alcohol for better treatment, as consumption of alcohol decreases the absorption of vitamin B from the gastrointestinal tract

NICE notes that pernicious anaemia is the most common cause of Vitamin B12 deficiency in those aged 40-70, with an average onset age of 60 in white people and 50 in black people, although it can affect black women at a younger age

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