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Now, the difficulty with low B12 levels are that yes, they are more likely to be associated with intestinal problems, but we don't always get overt diarrhea or vomiting with those diseases

Summary: Neurological problems after gastric sleeve surgery are primarily caused by nutritional deficiencies particularly thiamine, vitamin B12, and copper and can range from peripheral neuropathy to serious emergencies such as Wernicke's encephalopathy