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Requirements of vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation

The idea is to use the lowest effective dose to prevent regain without the side effects associated with higher therapeutic doses

Karczewski KJ, Francioli LC, Tiao G, Cummings BB, Alfoldi J, Wang Q, et al

Generally, adults with good overall health should not exceed Alcohol Alcohol-related liver disease can also falsely increase vitamin B12 test levels, according to People with alcohol use disorder may need supplements to correct vitamin B12 deficiency and anemia

Oral Vitamin B12 Replacement for the Treatment of Pernicious Anemia