Because injections do not rely on stomach acid or intrinsic factor, a much larger and more reliable share of the dose reaches your bloodstream, even when gut absorption is poor
That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12
Fatigue or feeling cold during fast weight loss Fewer cravings for alcohol, snacks, or junk food (commonly reported) When to Slow Down or Stop Vomiting that does not stop within 24 hours Severe upper abdominal pain that wraps around to the back Yellowing of skin or eyes Severe dehydration signs (dizziness, very dark urine, racing heart) Rapid weight loss over 2 lb per week sustained for many weeks (lean tissue loss risk) 13
The aim is to restore vitamin B12 to a healthy level and then maintain it safely. Doctors usually determine dosage based on blood test results
However, pregnant or lactating women should speak to their doctor prior to starting a B12 regimen