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Chronic alcohol use compounds the problem by: Damaging the stomach lining that produces intrinsic factor Interfering with the transport proteins that carry B12 Affecting liver storage of the vitamin Causing inflammation in the small intestine where absorption occurs [10] Cigarette Smoking Smoking doesnt just affect your lungs it can also impact your B12 status

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For nerve pain, the usual dose of vitamin B12 is 500 to 2000 mcg daily