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I also had iron deficiency anaemia at that time too which was corrected, and I also have non alcoholic liver disease so there could well be more than just B12 contributing here

Vitamin B12-related acne tends to occur only in dosages in excess of 5 to 10 mg per week. Thats 5,000 to 10,000 micrograms a week, which is well in excess of the 50 micrograms a day or, alternately, the 2,000-microgram single weekly dose that I recommend

It can affect anyone, at any time and, although it isnt life-threatening, it can be extremely painful