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Because gastric banding does not surgically remove or bypass the stomach or small intestine, the anatomical pathway for B12 absorption remains largely intact after LAGB

Progression of chronic periodontitis can be predicted by the levels of Porphyromonas gingivalis and Treponema denticola in subgingival plaque

However, it would appear that a small amount of cobalamin can be synthesized by the intestinal flora present in an area unable to absorb it [2], therefore making the vitamin unavailable

Plus, injecting directly into the fatty tissue instead of muscle tissue or vein helps prevent rapid absorption and decrease the likelihood of side effects [1]

She also works as a ringside physician for boxing and MMA events

doi: 10.3389/fphys.2014.00516