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Description
The therapeutic goals of B 12 treatment are the reversal of metabolic abnormalities and the prevention or reduction of clinical symptoms (fig 1)

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The full range reported is 50 to 150 mg per day, usually starting at 50 mg for the first 1 to 2 weeks and increasing if well tolerated

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Chronic alcohol use can contribute to B12 deficiency through multiple mechanisms, including impaired absorption and utilization of the vitamin in the body
