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These dosages are typically given to treat deficiency resulting from pernicious anemia, gastrointestinal disorders (such as Crohns disease), malabsorption syndromes, gastric surgeries and long-term use of medications (such as proton pump inhibitors)

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Several studies have shown that mega doses of the vitamin can lead to outbreaks of acne and rosacea which is a skin condition that causes redness and pus-filled bumps on the face