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(19) Gastric surgeries: If a portion of your stomach has been removed, the body cant produce enough IF, and the amount of space for B12 to be absorbed is also reduced

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Conclusion A patient presenting with cutaneous lesions alone should make us highly suspicious of the possibility of vitamin B12 deficiency
It is a ramp-up issue, not a toxicity issue

While compounded semaglutide was temporarily allowed during drug shortages, it must be phased out by April or May 2025, depending on the facility type
