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pylori infection chronic excess alcohol use pancreatic insufficiency intestinal bacterial overgrowth Gastrectomy/ bariatric surgery and gastritis Causes of food cobalamin malabsorption can be directly related with the stomach: Bariatric surgery it can depend on the type of procedure and what area of the stomach or intestines are removed Gastrectomy removal of part or all of the stomach Gastritis inflammation of the stomach lining Gastrectomy, bariatric surgery, and gastritis cause vitamin B12 deficiency due to an absence of stomach acids that help to remove vitamin B12 from food proteins, for example red meat

Electrolyte Depletion Similar to dehydration, an imbalance in electrolytes can arise from not replenishing vital nutrients with a balanced diet

Women who are severely deficient in vitamin B12 during pregnancy have an increased chance of having a baby with defects or having the baby miscarried

You should be committed to maintaining your results by following a healthy diet and an active lifestyle going forward

Gather all supplies on a clean, flat surface with good lighting

When clinically appropriate, B12 supplementation may be recommended as part of a medical evaluation