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For individuals with severe deficiencies or absorption issues, such as those with pernicious anemia, Vitamin B12 injections may be recommended for faster and more efficient absorption

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With additional L-Theanine, B-Vitamins and L-Tyrosine (250 mg per serving), Caffeine 2 enhances all caffeine advantages and benefits -- alertness, mental clarity, physical and mental energy -- while reducing jitters, crashes and other unpleasant side effects

Dongiovanni P, Anstee QM, Valenti L (2013) Genetic predisposition in NAFLD and NASH: impact on severity of liver disease and response to treatment

No you would give them the advice to go see their GP as we cannot replace the role of a doctor as they may need some investigations