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However, results vary depending on baseline vitamin levels, metabolism, and overall health

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Deficiency after gastric banding is therefore primarily related to: Reduced dietary intake and food tolerance , limiting consumption of B12-rich foods Use of acid-suppressing medicines (PPIs or H2RAs) , which can impair the release of B12 from food proteins and reduce absorption of food-bound B12 [4] Crystalline B12 the form found in supplements and fortified foods does not require acid or pepsin for release

When to Seek Care If pain, fatigue, or difficulty recovering are interfering with your daily life, teaming up with a clinician is an important move

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But shots given under the skin might need to be done more often because they absorb more slowly. Its key for doctors to adjust treatment plans based on each patients needs